Palafox B A, Lifschutz H, Juler G, Stemmer E, Mason G R
J Thorac Cardiovasc Surg. 1984 May;87(5):698-701.
Current management of benign and malignant esophageal lesions has changed little in the past 25 years. Treatment of unresectable lesions has consisted primarily of exclusion and bypass procedures as well as prosthetic intubations for relief of dysphagia. A case of a Celestin tube fragmentation in a patient with unresectable esophageal carcinoma causing small bowel obstruction is presented. Diagnosis, management, and review of the literature are discussed. Recommendations for use of the Celestin tube in patients with good long-term prognoses include keeping a high index of suspicion for possible complications, close and regular radiographic and endoscopic follow-up, and early surgical intervention upon tube fragmentation.
在过去25年里，良性和恶性食管病变的当前管理变化不大。不可切除病变的治疗主要包括排除和旁路手术以及用于缓解吞咽困难的假体插管。本文介绍了一例不可切除食管癌患者的Celestin管破碎导致小肠梗阻的病例。讨论了诊断、管理及文献回顾。对于长期预后良好的患者使用Celestin管的建议包括对可能的并发症保持高度怀疑指数、密切定期进行影像学和内镜随访，以及在管破碎时尽早进行手术干预。
