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Comparison of Conventional and Wire Mesh Expandable Prostheses and Surgical Bypass in Patients With Malignant Esophagorespiratory Fistulas  Donald E.

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Presentation on theme: "Comparison of Conventional and Wire Mesh Expandable Prostheses and Surgical Bypass in Patients With Malignant Esophagorespiratory Fistulas  Donald E."— Presentation transcript:

1 Comparison of Conventional and Wire Mesh Expandable Prostheses and Surgical Bypass in Patients With Malignant Esophagorespiratory Fistulas  Donald E. Low, Richard A. Kozarek  The Annals of Thoracic Surgery  Volume 65, Issue 4, Pages (April 1998) DOI: /S (98)

2 Fig. 1 (A) Patient with esophageal malignancy and large esophagorespiratory fistula. (B) Same patient after complete occlusion of fistula with 6-cm Wallstent. The Annals of Thoracic Surgery  , DOI: ( /S (98) )

3 Fig. 2 (A) Patient with previous near-total esophagectomy for cancer in whom fistula developed secondary to mediastinal recurrence of cancer. (B) Same patient after retrosternal bypass with colon. The Annals of Thoracic Surgery  , DOI: ( /S (98) )

4 Fig. 3 Surgical options for bypass of esophageal respiratory fistula: (A) retrosternal gastric tube with complete esophageal exclusion, (B) retrosternal colonic bypass of extensive esophagogastric tumor with proximal esophageal exclusion, and (C) retrosternal gastric tube with Roux-en-Y drainage of excluded esophagus (Kirschner operation) [11]. The Annals of Thoracic Surgery  , DOI: ( /S (98) )

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