RESUMO
In a patient who has ruptured his oesophagus a major objective should be to prevent access of swallowed material or refluxed gastric contents to the area of the rupture. We describe a tube system, introduced into the oesophagus via a cervical oesophagostomy, which prevents swallowed material from getting to the lower oesophagus and allows a tube to the passed into the stomach for continuous aspiration of gastric contents. To discontinue the diversion, a surgical procedure is not required. The successful use of this tube system in 3 patients is described.
Assuntos
Doenças do Esôfago/terapia , Esôfago , Intubação/métodos , Adulto , Humanos , Masculino , Pessoa de Meia-Idade , Ruptura EspontâneaRESUMO
Using an inflatable balloon catheter with an abrasive, absorbent surface, cytologic material was collected from the whole esophageal mucosa of 500 patients, none of whom were suspected of having esophageal cancer. Cytology identified malignant cells in 15 patients and dysplastic cells in another 26. All lesions were confirmed histologically by endoscopically directed biopsies. Ten cancers were early-stage lesions. The cytologic findings are reported in detail.