Atkinson M, Ferguson R
Br Med J. 1977 Jan 29;1(6056):266-7. doi: 10.1136/bmj.1.6056.266.
Palliative intubation for inoperable malignant strictures at the cardia was done on 16 occasions in 13 patients using fiberoptic endoscopy. Preliminary dilatation was performed, and the Celestin tube was mounted on an introducer and passed over a guide wire inserted with a fiberoptic endoscope. Only one death resulted from the procedure and all the 12 patients who left hospital were swallowing satisfactorily on discharge. The method provided a simple and relatively safe means of relieving dysphagia and improving nutrition.
对13例患有无法手术的贲门恶性狭窄患者进行了16次姑息性插管,采用纤维内镜进行操作。先行扩张,将塞莱斯坦管安装在导入器上,经插入纤维内镜的导丝送入。该操作仅导致1例死亡,12例出院患者出院时吞咽情况均良好。该方法为缓解吞咽困难和改善营养状况提供了一种简单且相对安全的手段。