C. Famulari et al., PALLIATIVE ENDOSCOPIC TREATMENT OF MALIGNANT ESOPHAGORESPIRATORY FISTULA - CASE-REPORT, Hepato-gastroenterology, 40(5), 1993, pp. 502-504
The authors report on a case of esophagorespiratory fistula due to squ
amous carcinoma of the esophagus treated on an emergency basis by endo
scopic insertion of an Atkinson prosthesis following dilation of the m
alignant stenosis with Savary dilators. The authors suggest the endosc
opic insertion of a prosthesis as the first approach in the emergency
treatment of a malignant esophagorespiratory fistula because of the ea
siness of the technique, and its low morbidity and mortality rates; fu
rthermore, this procedure relieves digestive and respiratory symptoms
rapidly and reduces hospital stay while providing the patient with a b
etter quality of remaining life.