Usefulness of Transesophageal Drainage Using a Nasogastric Tube for Esophago-pulmonary Fistula in Advanced Esophageal Cancer: A Case Report

Soneda Wataru, Kikuchi Hirotoshi, Kawata Sanshiro, Hirotsu Amane, Matsumoto Tomohiro, Hiramatsu Yoshihiro, Kamiya Kinji, Takeuchi Hiroya

doi:10.2468/jbes.71.421

Bibliographic Information

Other Title

経鼻・経食道的ドレナージが有効であった食道肺瘻を呈した進行食道癌の1例
ケイハナ・ケイショクドウテキドレナージガユウコウデアッタショクドウハイロウオテイシタシンコウショクドウガンノ 1レイ

Search this article

Description

<p>Esophageal pulmonary fistula concomitant with advanced esophageal cancer often causes lung abscess and deterioration of respiratory status, and shows poor prognosis. Herein we report a case of esophageal cancer with esophago-pulmonary fistula, and discuss the treatment strategies. The case was initially diagnosed as a lung abscess due to esophago-pulmonary fistula, and was treated with antibiotics. In addition, a nasal drainage tube was inserted into the lung abscess through the fistula. After control of infection, chemoradiotherapy was performed. In this case, the tumor remained unresectable after the treatments, however; there was no fever or recurrence of inflammation due to the esophago-pulmonary fistula. Esophago-pulmonary fistula is a difficult condition with poor prognosis, but radical resection could be possible in some cases with advanced esophageal cancer who responded to chemoradiotherapy and are in good general condition. Treatment strategies for advanced esophageal cancer with esophago-pulmonary fistula should be tailor-made based on the detailed patient conditions.</p>

Journal

Nihon Kikan Shokudoka Gakkai Kaiho

Nihon Kikan Shokudoka Gakkai Kaiho 71 (6), 421-425, 2020-12-10

The Japan Broncho-esophagological Society

Keywords

Details 詳細情報について

Export

Report a problem