title: Esophageal bypass using a gastric tube and a cardiostomy for malignant esophagorespiratory fistula.
abstract: Esophageal bypass with a gastric tube and a cardiostomy is a method recently devised for malignant esophagorespiratory fistula. This method separates completely the alimentary and respiratory tracts. Four patients underwent these procedures. No operative deaths occurred, nor was there any anastomotic leakage or disruption of the excluded esophagus. The average survival time was 7 months. However, all patients were allowed to consume food orally up to the last moment of life. This bypass procedure is simple and safe to perform, and is thus a feasible treatment choice for patients with such fistulas.
authors.affiliation: Gastroenterological Division, Cancer Institute Hospital, 3-10-6 Ariake, Koto-ku, Tokyo, 135-8550, Japan. yasuyuki.seto@jfcr.or.jp
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Seto
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Yamada
authors.forename: Takashi
authors.initials: T
authors.lastname: Fukuda
authors.forename: Norihito
authors.initials: N
authors.lastname: Hosoi
authors.forename: Ryusuke
authors.initials: R
authors.lastname: Takebayashi
authors.forename: Keisho
authors.initials: K
authors.lastname: Chin
authors.forename: Takuyo
authors.initials: T
authors.lastname: Kotsuka
authors.forename: Kotaro
authors.initials: K
authors.lastname: Gomi
authors.forename: Toshiharu
authors.initials: T
authors.lastname: Yamaguchi
mesh_terms: D000368:Aged; D002299:Cardia / Q000601:surgery*; D004750:Enteral Nutrition; D004938:Esophageal Neoplasms / Q000150:complications / Q000601:surgery; D004946:Esophagostomy / Q000295:instrumentation*; D004947:Esophagus / Q000601:surgery*; D005500:Follow-Up Studies; D005747:Gastric Fistula / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D005774:Gastrostomy / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015996:Survival Rate; D014138:Tracheoesophageal Fistula / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D016896:Treatment Outcome