title: Indigenous silicone rubber endoprosthesis for malignant esophago-pulmonary fistula.
abstract: Endoscopic placement of an esophageal endoprosthesis is the most rational therapy for relieving the distress of malignant esophago-pulmonary fistula. The commercial prostheses are very expensive for widespread use in India. We have indigenously prepared silicone rubber endoprostheses. The wall of the prosthesis was hardened in a graded manner until the desired resistance to compression with flexibility is achieved. This prosthesis was placed successfully in five patients with malignant esophago-pulmonary fistula. Dysphagia and aspiration were relieved in all the patients. One patient had delayed esophageal perforation and died of massive bleeding 3 weeks after the placement of prosthesis. The indigenous endoprosthesis is cost-effective and safe.
authors.affiliation: Department of Gastroenterology, Tata Memorial Hospital, Bombay.
authors.forename: K M
authors.initials: KM
authors.lastname: Mohandas
authors.forename: V S
authors.initials: VS
authors.lastname: Swaroop
authors.forename: R K
authors.initials: RK
authors.lastname: Deshpande
authors.forename: V
authors.initials: V
authors.lastname: Sharma
mesh_terms: D000328:Adult; D000368:Aged; D004937:Esophageal Fistula / Q000209:etiology / Q000628:therapy*; D004938:Esophageal Neoplasms / Q000150:complications; D004947:Esophagus; D005260:Female; D005402:Fistula / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007440:Intubation / Q000295:instrumentation*; D008171:Lung Diseases / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000379:methods*; D012826:Silicone Elastomers
chemical_list: D012826:Silicone Elastomers