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• W2067240131 abstract "Primary cancers of the cervical esophagus constitute 7% to 10% of all esophageal cancers. 1 Goodner JT Treatment and survival in cancer of the cervical esophagus. Am J Surg. 1979; 118: 673-675 Abstract Full Text PDF Scopus (21) Google Scholar The diagnosis is frequently made when the tumor is advanced and curative surgery is not possible. 2 Boyce Jr, HW Palliation of advanced esophageal cancer. Semin Oncol. 1984; 11: 186-195 PubMed Google Scholar Palliation remains the optimal aim in this setting. Until recently, the presence of a high cervical cancer (involving or within 2 cm of the cricopharyngeal muscle) was considered a contraindication for palliation by endoprosthesis insertion, 2 Boyce Jr, HW Palliation of advanced esophageal cancer. Semin Oncol. 1984; 11: 186-195 PubMed Google Scholar , 3 Tytgat GNJ Den Hartog Jager FGA Bartelsman JFWN Endoscopic prosthesis for advanced esophageal cancer. Endoscopy. 1986; 18: 32-39 Crossref PubMed Scopus (67) Google Scholar , 4 Fleischer D Sivak MV Endoscopic Nd:Yag laser therapy as palliation for esophago-gastric cancer. Gastroenterology. 1985; 89: 827-831 PubMed Google Scholar but recent studies have shown that such insertion is possible and yields good results. 5 Goldschmid S Boyce Jr, HW Nord HJ Brady PG Treatment of pharyngoesophageal stenosis by polyvinyl prosthesis. Am J Gastroenterol. 1988; 83: 513-518 PubMed Google Scholar , 6 Spinelli P Cerrai FG Meroni E Pharyngo-esophageal prostheses in malignancies of the cervical esophagus. Endoscopy. 1991; 23: 213-214 Crossref PubMed Scopus (25) Google Scholar , 7 Loizou LA Rampton D Bown SG Treatment of malignant strictures of the cervical esophagus by endoscopic intubation using a modified prosthesis. Gastrointest Endosc. 1992; 38: 158-164 Abstract Full Text PDF PubMed Scopus (40) Google Scholar However, in a subgroup of patients who have high cervical esophageal disease associated with marked fibrosis as a consequence of the malignancy itself or of radiotherapy and/or surgery, insertion of a plastic prosthesis is not possible. This occurs because of inability to dilate the stricture beyond 10 to 12 mm, whereas insertion of plastic prosthesis frequently requires dilation up to 16 to 18 mm. Palliation to allow passage of saliva and liquid food is highly desirable in this group of patients, for whom uncomfortable, indwelling nasogastric tubes are often the only option. The problem is further compounded should they refuse a percutaneous gastrostomy tube as a nutritional inlet. We describe in this article our experience in the management of such patients using as a prosthesis a device traditionally used by head and neck surgeons as a salivary bypass tube in the management of fistulas occurring after laryngectomies and laryngopharyngectomies. 8 Har-El G Nash M Oppenheimer R Krespi YP The use of salivary bypass tube for pharyngeal reconstruction. Laryngoscope. 1992; 102: 1073-1075 Crossref PubMed Scopus (7) Google Scholar , 9 Montgomery WW Montgomery SK Montgomery salivary bypass tube. Ann Otol Rhinol Laryngol. 1990; 99: 19-22 Google Scholar" @default.
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• W2067240131 date "1995-06-01" @default.
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• W2067240131 title "Treatment of nondilatable malignant pharyngoesophageal strictures by Montgomery salivary bypass tube: a new approach" @default.
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• W2067240131 doi "https://doi.org/10.1016/s0016-5107(95)70200-8" @default.
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