消化器内視鏡の進歩:Progress of Digestive Endoscopy
Online ISSN : 2189-0021
Print ISSN : 0389-9403
症例
食道癌術後胃管穿孔に対する治療法の一工夫
石川 紀行森山 雄吉京野 昭二横井 公良小川 芳雄工藤 秀徳山初 順一山下 精彦
著者情報
キーワード: 人工食道, 挙上胃管穿孔
ジャーナル フリー

1998 年 51 巻 p. 154-155

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Originally, the intubating a flexible tube method for esophageal cancer had been developed to provide for improvement of QOL of the patients with severe stenosis or esophagobronchial fistula and had been reported to be also useful to close the leakage at the anastomotic site following esophagectomy for an esophageal cancer.
In this report, we describe a successful treatment of accidental perforation of gastric tube following esophagectomy for an esophageal cancer by intubatig a flexible tube.
The case is a 64-year-old male. Accidental perforation of gastric tube arised owing to intubating endotracheal tube into esophagus following esophagectomy for an esophageal cancer at other hospital. The thracic drainage and tracheostomy were performed and hyper-alimentation was carried out. However, those treatment were ineffective to perforated site. We used flexible tube to prevent saliva and gastric juice. After intubation of the tube, perforation site was closed and general condition was getting better.
We experienced a flexible tube intubation was useful to close the perforation of gastric tube in esophagectomy.

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© 1998 一般社団法人 日本消化器内視鏡学会 関東支部
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