Abstract | OBJECTIVE: Provide the initial endoscopic experience in the placing of the Montgomery salivary bypass tube ( MSBT). PATIENTS AND METHODS: Descriptive, retrospective study in 7 patients in the Digestive System Unit of EsSALUD Hospital Edgardo Rebagliati Martins in Lima-Peru from November 2003 to January 2006. RESULTS: The average age of the patients was 34.68 years (2 years, 8 months - 76 years); 85.1% were male, 71.4% required hospitalization in the Intensive Care Unit. In 5 patients, the MSBT indications were some kind of fistula in the esophagus, and stenosis in 2 patients, one crichopharyngeal and the other gastric transposition with anastomosis in the cervical esophagus. The endoscopic help for the placing of the MSBT was required in 81.8% and for withdrawal in 77.7%. In the six (6) adult patients, sedation, the endoscopic procedure and the placing of the MSBT were well-tolerated. The average time that the MSBT was in place was 70.5 days. In two (2) patients (28.6%), there were complications associated with the MSBT: one had odinophagia which required withdrawal on the seventh day and another patient had anterograde migration of the MSBT with fatal perforation of the small intestine. In 57.1% of the cases, the fistula or stenosis was cured; in 28.6%, there was partial improvement. CONCLUSIONS: The endoscopic technique for the insertion of the MSBT serves as an alternative, allows the diagnosis, confirmation, comparison of fistulas or stenosis in the cervical esophagus and is well-tolerated.
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Authors | Javier Silva Balarezo, Julio Delgado Palache, Oscar Frisancho Velarde |
Journal | Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru
(Rev Gastroenterol Peru)
2007 Jul-Sep
Vol. 27
Issue 3
Pg. 287-94
ISSN: 1022-5129 [Print] Peru |
Vernacular Title | Colocación endoscópica del tubo de derivación salival de Montgomery en fistulas y estenosis esofágicas. |
PMID | 17934543
(Publication Type: Case Reports, English Abstract, Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Child, Preschool
- Digestive System Surgical Procedures
(instrumentation, methods)
- Equipment Design
- Esophageal Fistula
(surgery)
- Esophageal Stenosis
(surgery)
- Esophagoscopy
- Female
- Humans
- Male
- Middle Aged
- Retrospective Studies
- Salivary Ducts
(surgery)
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