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Ann Thorac Surg 1986;41:531-534
© 1986 The Society of Thoracic Surgeons

Articles

A New Approach to the Management of Malignant Esophageal Obstruction and Esophagorespiratory Fistula

Ali Ghazi, M.D., Moses Nussbaum, M.D.*

Department of Surgery, Beth Israel Medical Center, and the Mount Sinai School of Medicine, New York, NY

Accepted for publication August 10, 1985.

* Address reprint requests to Dr. Nussbaum, Department of Surgery, Beth Israel Medical Center, 10 Nathan D. Perlman PI, New York, NY 10003

Successful palliation of 6 patients with total or nearly total malignant esophageal obstruction is reported. In 5 of the patients, laser vaporization, dilation, and placement of an endoesophageal prosthesis resulted in an esophageal lumen that allowed adequate swallowing of soft food. In 1 patient with an esophagorespiratory fistula, the prosthesis successfully occluded the fistula and prevented aspiration or pulmonary infection until the patient's death.

This rapidly achieved endoscopic palliation represents a major advance in the management of a serious medical problem.




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 Ann. Thorac. Surg.Home page
M. Burt, W. Diehl, N. Martini, M. S. Bains, R. J. Ginsberg, P. M. McCormack, and V. W. Rusch
Malignant esophagorespiratory fistula: Management options and survival
Ann. Thorac. Surg., December 1, 1991; 52(6): 1222 - 1229.
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