Palliation of malignant esophago-respiratory fistulae by permanent indwelling prosthetic tube

Ann Surg. 1977 Jan;185(1):88-91. doi: 10.1097/00000658-197701000-00015.


Malignant esophago-respiratory fistula is an incurable condition calsing severe distress to those patients suffering from it. Sixty two successive patients with esophago-respiratory fistulae, secondary to squamous cell carcinomas of the esophagus, were intubated for palliation. The first 14 were intubated by a traction technique using the Celestin tube, and the remaining 48 were intubated by the Procter-Livingstone tube inserted by a pulsion method. Celestin intubation had a mortality of 64.3% but 75% of those intubated by the Procter-Livingstone tube were discharged from hospital, swallowing satisfactorily and relieved of their respiratory distress. In our experience the insertion of the Proctor-Livingstone tube by a pulsion technique, can be performed in a few minutes, with little morbidity and allows the patient to be discharged from hospital within 3-4 days of the procedure. It is a successful and acceptable method of treating malignant esophago-respiratory fistulae.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial

MeSH terms

  • Adult
  • Aged
  • Bronchial Fistula / surgery
  • Carcinoma, Squamous Cell / complications
  • Carcinoma, Squamous Cell / therapy
  • Esophageal Fistula / complications
  • Esophageal Fistula / diagnostic imaging
  • Esophageal Fistula / surgery*
  • Esophageal Neoplasms / complications*
  • Esophageal Neoplasms / therapy
  • Female
  • Fistula / surgery*
  • Humans
  • Intubation
  • Lung Diseases
  • Male
  • Middle Aged
  • Palliative Care
  • Prostheses and Implants*
  • Radiography
  • Tracheoesophageal Fistula / surgery