PALLIATIVE INTUBATION FOR DYSPHAGIA IN PATIENTS WITH CARCINOMA OF THE ESOPHAGUS

被引:31
作者
LIAKAKOS, TK [1 ]
OHRI, SK [1 ]
TOWNSEND, ER [1 ]
FOUNTAIN, SW [1 ]
机构
[1] HAREFIELD HOSP,DEPT THORAC SURG,HAREFIELD UB9 6JH,MIDDX,ENGLAND
关键词
D O I
10.1016/0003-4975(92)90269-A
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
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页码:460 / 463
页数:4
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