Korean Journal of Gastrointestinal Endoscopy 1996;16(3): 414-421.
원저 : 식도 위장관 : 악성 림프종 환자의 비협착성 식도-기관지 누공에 대한 Cuffed 인공식도관 삽입술 ( Original Articles : Esophagus , Stomach & Intestine ; Endoscopic Treatment with a Cuffed Prosthesis for Esophago - tracheal Fistula without Esophageal Stricture in a Patient with Malignant Lymphoma )
이상인, 김영수, 조성원, 함기백, 김진홍, 박영숙, 홍사준, 이광재 (Sang In Lee, Young Soo Kim, Sung Won Cho, Ki Baik Hahm, Jin Hong Kim, Young Sook Park, Sa Joon Hong and Kwang Jae Lee)
Abstract
An esophago-tracheal fistula is a distressing and rapidly fatal complication of cancer infiltrating the mediastinum. The passage of swallowed saliva and solid or liquid food into the bronchial tree causes coughing and frequent episodes of putmonary infection and collapse. Curative resection is generally impossible due to the extent of the malignant leision and respiratory disability. In principle, peroral endoscopic intubatian provides the best available palliative therapy. Peroral intubation with a standard prosthesis fails to occlude inoperable malignant esopbago-tracheal fistulas located above the narrowed segment or when there is little or no stricture at all. To overcome these problems, the fistula is iniubated perorally with a prosthesis surrounded by a foam rubber cuff contained in silicone sheath, in which a vacuum can be created. The cuffed esophageal prosthesis can improve the quality of life in patients with malignant esophago-tracheal fistulas that do not respond to conventional intubation. We experieneed a case of the endoscopic treatment with a cuffed prosthesis for esophago-tracheal fistula without esophageal stricture in a patient with malignant lymphoma. After treatment, there were no symptoms related to the fistula and good transit of food was achieved. So we report this case with a brief review of the previous literatures. (Korean J Gaetrointest Endosc 16: 414-420, 1996)
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