Korean Journal of Gastrointestinal Endoscopy 1992;12(2): 221-226.
식도 기관지 누공을 동반한 악성식도협착에서 Cuffed 인공식도관의 내시경적 삽관술 ( Endoscopic Treatment with a Cuffed Prosthesis for Malignant Esophago - Bronchial Fistula )
심찬섭, 문종호, 이준성, 이문성, 김진홍, 조성원 (Chan Sup Shim, Jong Ho Moon, Joon Seong Lee, Moon Sung Lee, Jin Hong Kim and Sung Won Cho)
Abstract
Malignant esophago-bronchial fistula is an incurable and distressing condition. The passage of swallowed saliva and solid or liquid food into the bronchial tree causes coqghing and frequent pulmonary infection and collapse. Most patients are unfit for major surgery, but intubation offers a quick, simple and effective treatment with improved length and quality of life. However, intubation with simple esophageal tubes are liable to result in failure to occlude the fistela, migration of the tube, erosion, and in the case of latex tubes, disintegration. To overcome these problems, the fistula is intubated perorally with a prosthesis surrounded by a foam rubber cuff contained ia silicone sheath, in which vacuum can be created. This cuffed prosthesis is the most satisfactory design for the treatment of malignant esophago-bronchial fistula with effiective and gentle occlusion of the fistula without risk of pressure necrosis. We experienced a case of the endoscopic treatment with a cuffed prosthesis for malignant esophago-bronchial fistula. So we report this case with brief review of the previous literatures.
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