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Permanent indwelling tubes in benign oesophageal stricture
Acta Chirurgica Scandinavica
|January 1, 1983
Summary
Permanent intubation for benign esophageal strictures is rarely successful and often leads to complications. This treatment is generally not recommended, except as a last resort over gastrostomy for patients averse to permanent stomas.
Area of Science:
- Gastroenterology
- Surgical Procedures
Background:
- Benign esophageal strictures are often treated with permanent intubation.
- Limited data exists on the indications and outcomes of this procedure.
Purpose of the Study:
- To evaluate the indications and results of permanent intubation for benign esophageal strictures.
Main Methods:
- Retrospective review of 9 intubations in 7 patients with benign esophageal strictures.
Main Results:
- The procedure had a low success rate, with significant complications including gastrointestinal bleeding, reflux, and tube migration.
- 4 out of 9 tubes required removal within 6 weeks.
- Only 2 patients experienced lasting benefit without serious complications.
Conclusions:
- Permanent intubation for benign esophageal strictures is associated with poor outcomes and frequent complications.
- It should only be considered as an alternative to gastrostomy for patients with a strong aversion to permanent stomas.