Pessimism concerning palliative bypass procedures for established malignant esophagorespiratory fistulas: a report of 18 patients
| Autor: | N. Nicolaou, Conlan Aa, R. Pool, P.G. Delikaris |
|---|---|
| Rok vydání: | 1984 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Male medicine.medical_specialty Esophageal Neoplasms Fistula Sepsis Esophageal Fistula Esophagus medicine Humans Derivation Aged business.industry Respiratory disease Palliative Care Stomach Respiratory infection Esophageal cancer Middle Aged medicine.disease Surgery medicine.anatomical_structure Respiratory failure Carcinoma Squamous Cell Female Bronchial Fistula Cardiology and Cardiovascular Medicine business Tracheoesophageal Fistula |
| Zdroj: | The Annals of thoracic surgery. 37(2) |
| ISSN: | 0003-4975 |
| Popis: | Eighteen patients with established malignant esophagorespiratory fistulas due to primary esophageal cancer were managed by substernal gastric bypass and isolation of the cancerous esophageal segment. Seven fistulas were esophagotracheal and 11 were esophagobronchial. Ten patients died in the hospital between two days and six weeks after operation. Eight patients left the hospital, surviving an average of 3½ months, but 2 patients lived 5 and 7 months, respectively. Unrelenting respiratory infection and clinical inanition caused 7 hospital deaths in patients reestablished on oral alimentation with their fistulas disconnected. Anastomotic leaks occurred in 5 patients; three of these leaks closed. In the other 2 patients, cervicomediastinal sepsis and bilateral pneumonia with respiratory failure caused death. One patient died of anoxic cardiac arrest 48 hours postoperatively. Fifteen of the 18 patients resumed oral alimentation, but the overall results of palliative surgical therapy achieved in this series were not observably worthwhile for the majority. |
| Databáze: | OpenAIRE |
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