HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Sunil K. Ohri Edward R. Townsend Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Liakakos, T. K. Articles by Fountain, S. W. Search for Related Content PubMed PubMed Citation Articles by Liakakos, T. K. Articles by Fountain, S. W.

Ann Thorac Surg 1992;53:460-463
© 1992 The Society of Thoracic Surgeons

---

Articles

Palliative intubation for dysphagia in patients with carcinoma of the esophagus

Department of Thoracic Surgery, Harefield Hospital, Harefield, Middlesex, England

Accepted for publication August 28, 1991.

^_* Address reprint requests to Mr Ohri, Department of Thoracic Surgery, Harefield Hospital, Harefield, Middlesex, UB9 6JH, England.

One hundred seven consecutive patients seen over a 6-year period with dysphagia secondary to advanced primary carcinoma of the esophagus underwent intubation. One hundred five patients underwent pulsion intubation. In 2 patients pulsion intubation was not possible, and laparotomy and traction intubation was performed. For the intubated group there were 65 men and 40 women (ratio, 1.6:1), with a mean age of 71.3 ± 10.5 years (range, 36 to 92 years). Of the 105 patients who had pulsion intubation, a perforation developed in 11 (10.5%), which was responsible for the death of 4 patients (3.8%). A further 3 patients died of malignant cachexia, which resulted in an overall mortality of 6.7%. Late complications included tube displacement (4 patients; 3.8%) and tube obstruction (32 patients; 30.5%). Tube obstruction was due to advancement of malignant disease in 26 patients (81.2%) and food bolus impaction in the remaining 6 patients (18.8%). Pulsion intubation for advanced carcinoma of the esophagus can be performed with a low morbidity and early mortality. However, there is a substantial long-term morbidity of tube obstruction in almost a third of survivors.

This article has been cited by other articles:

				A. Maier, H. Pinter, G. B. Friehs, H. Renner, and F. M. Smolle-Juttner Self-expandable coated stent after intraluminal treatment of esophageal cancer: a risky procedure? Ann. Thorac. Surg., March 1, 1999; 67(3): 781 - 784. [Abstract] [Full Text] [PDF]

				L. Kotsis, K. Zubovits, and P. Vadasz Management of Malignant Tracheoesophageal Fistulas With a Cuffed Funnel Tube Ann. Thorac. Surg., August 1, 1997; 64(2): 355 - 358. [Abstract] [Full Text]

				C. Lewis-Jones, R. Sturgess, and J. Ellershaw Laser therapy in the palliation of dysphagia in oesophageal malignancy Palliative Medicine, October 1, 1995; 9(4): 327 - 330. [Abstract] [PDF]

				R. T. Temes, R. S. Wong, M. Davis, R. M. Kessler, and J. A. Wernly Esophago-airway fistula in AIDS Ann. Thorac. Surg., August 1, 1995; 60(2): 440 - 442. [Abstract] [PDF]

				W. H. Warren, C. Smith, and L. P. Faber Clinical experience with Montgomery salivary bypass stents in the esophagus Ann. Thorac. Surg., May 1, 1994; 57(5): 1102 - 1107. [Abstract] [PDF]

				L. Wetstein Palliative intubation for dysphagia Ann. Thorac. Surg., October 1, 1992; 54(4): 813 - 814. [PDF]