Laughlin E H, Walker W Y
J Thorac Cardiovasc Surg. 1980 Jul;80(1):17-20.
A singular case is described in which a pateint with a Celestin endoesophageal tube in place for 10 months died of complications from small bowel perforation resulting from disruption of the tube. The lower part of the tube lying within the stomach had deteriorated and become detached except for a single strand of nylon monofilament. This fragment passed into the small intestine, where it remained tethered at the level of the distal jejunum, acting first as an obscure cause of intermittent small bowel obstruction and later as the cause of jejunal perforation. In the patient who is a candidate for esophageal intubation and who has a life expectancy beyond 6 or 8 months, consideration should be given to using a device other than the Celestin tube. Whenever a Celestin appliance is used to palliate dysphagia, the intragastric part of the tube should be anchored to the stomach with multiple sutures.
本文描述了一个独特的病例，一名患者放置Celestin食管内管10个月后，因管子破裂导致小肠穿孔并发症死亡。位于胃内的管子下部已经恶化并脱落，仅剩下单股尼龙单丝。这个碎片进入小肠，在空肠远端水平处固定，首先作为间歇性小肠梗阻的不明原因，后来成为空肠穿孔的原因。对于有食管插管指征且预期寿命超过6或8个月的患者，应考虑使用Celestin管以外的其他装置。每当使用Celestin装置缓解吞咽困难时，管子在胃内的部分应用多根缝线固定于胃上。
