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Updated: Aug 8, 2026
04:46
A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
A simple endoscopic intubation technique in esophageal obstruction
The Annals of Otology, Rhinology, and Laryngology
|November 1, 1982
Summary
This study details a rigid endoscopic intubation technique for malignant esophageal stenosis. While effective for esophageal strictures, it carries risks like perforation and tube migration.
Area of Science:
- Gastroenterology
- Endoscopy
- Oncology
Background:
- Malignant esophageal stenosis presents a significant challenge in patient management.
- Effective palliation often requires restoring esophageal patency.
Purpose of the Study:
- To evaluate the efficacy and safety of a rigid endoscopic intubation technique for malignant esophageal stenosis.
- To assess the feasibility of using thermoplastic probes and endoscopic control for tube placement.
Main Methods:
- A cohort of 42 patients with malignant esophageal stenosis underwent endoscopic intubation between 1979 and 1981.
- Stenosis was dilated using thermoplastic probes passed through a rigid esophagoscope.
- A tube was then endoscopically placed within the malignant stricture.
Main Results:
- The rigid technique was applied to malignant strictures confined to the esophagus.
- Two cases of perforation (gravest risk) were reported.
- Five patients experienced proximal tube migration.
Conclusions:
- The described rigid endoscopic intubation technique is suitable for esophageal malignant strictures.
- The procedure demands significant endoscopic skill and is associated with potential complications.
- Risks include perforation and tube migration, necessitating careful patient selection and monitoring.
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