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- Title
T tube intubation in the management of seriously ill patients with oesophagopleural fistulae.
- Authors
Naylor, A. R.; Walker, W. S.; Dark, J.; Cameron, E. W. J.
- Abstract
Ten patients referred late with oesophagopleural fistulae were managed by T tube intubation of the oesophageal defect. Seven survived and six had radiographic evidence of closure of the defect. One patient who removed his T tube early was discharged to convalesce with a small oesophagocutaneous fistula. Three patients died as a consequence of pre-existing renal failure, upper gastrointestinal haemorrhage and adult respiratory distress syndrome. Patients presenting late with multisystem complications and ongoing sepsis secondary to oesophagopleural fistulae pose a major management problem. Our preliminary results suggest that T tube intubation offers a potential alternative to major surgical intervention, when more conservative measures have failed.
- Publication
British Journal of Surgery, 1990, Vol 77, Issue 1, p40
- ISSN
0007-1323
- Publication type
Article
- DOI
10.1002/bjs.1800770114