In:
Digestive Surgery, S. Karger AG, Vol. 17, No. 4 ( 2000), p. 400-402
Abstract:
〈 i 〉 Background/Aims: 〈 /i 〉 Oesophageal intubation remains one of the principal methods of palliation for an obstructing oesophageal carcinoma. We present a case which illustrates a rare but fatal complication of this procedure. 〈 i 〉 Methods: 〈 /i 〉 A 60-year-old female with oesophageal cancer presented with total dysphagia 9 months following insertion of a Celestin tube for palliation. Oesophagoscopy revealed a bolus obstruction which was successfully cleared. Two days later she developed generalised peritonitis and subsequently died. 〈 i 〉 Results: 〈 /i 〉 A post-mortem examination demonstrated fragmentation and displacement of the distal part of the Celestin tube resulting in perforation of the small bowel. 〈 i 〉 Conclusion: 〈 /i 〉 Celestin tube disintegration is a risk associated with long-term use, and routine replacement is indicated in patients with a prolonged survival to avoid this complication.
Type of Medium:
Online Resource
ISSN:
0253-4886
,
1421-9883
Language:
English
Publisher:
S. Karger AG
Publication Date:
2000
detail.hit.zdb_id:
1468560-7
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