title: Early detection of incorrect siting of Procter-Livingstone tube by fibre-optic endoscopy.
abstract: Forty patients undergoing intubation with a Procter-Livingstone tube for oesophageal neoplasm were checked by gastroscope for correctness of placement. An end-viewing fibre-optic scope was passed through the rigid oesophagoscope, through the Procter-Livingstone tube and onwards into whatever structure lay beyond. Oesophageal perforation occurred in 6 patients and immediate salvage operations resulted in 4 surviving. Reduced hospital mortality and educational feedback for the operator were the major advantages.
authors.affiliation: Department of Surgery, Umtata General Hospital, Transkei.
authors.forename: A M
authors.initials: AM
authors.lastname: Sammon
authors.forename: M H
authors.initials: MH
authors.lastname: Cotton
mesh_terms: D004938:Esophageal Neoplasms / Q000628:therapy*; D004945:Esophagoscopy; D004947:Esophagus; D005336:Fiber Optic Technology; D006801:Humans; D007440:Intubation / Q000009:adverse effects / Q000379:methods*