Esophageal bypass using a gastric tube and a cardiostomy for malignant esophagorespiratory fistula.
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.
Seto
Yasuyuki
Y
Gastroenterological Division, Cancer Institute Hospital, 3-10-6 Ariake, Koto-ku, Tokyo, 135-8550, Japan. yasuyuki.seto@jfcr.or.jp
Yamada
Kazuhiko
K
Fukuda
Takashi
T
Hosoi
Norihito
N
Takebayashi
Ryusuke
R
Chin
Keisho
K
Kotsuka
Takuyo
T
Gomi
Kotaro
K
Yamaguchi
Toshiharu
T
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