放射線化学療法後に生じた食道肺瘻・肺化膿症に対して経鼻・経食道的ドレナージが奏効した進行食道癌の１例

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  • AN EXPERIENCE OF DRAINAGE VIA ESOPHAGEAL FISTULA USING AN NASO-BILIARY DRAINAGE TUBE FOR ESOPHAGOPLEURAL FISTULA AND PULMONARY SUPPURATION FOLLOWING A CHEMORADIATION THERAPY TO ADVANCED ESOPHAGEAL CANCER

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A 54-year old male underwent an upper gastrointestinal endoscopy and a computed tomography (CT) scan test for dysphagia and was diagnosed as having advanced esophageal cancer. Despite a chemoradiation therapy to the lesion, he complicated refractory esophago-pleural fistula and pulmonary suppuration, and received a drainage via esophageal fistula using an Naso-Biliary tube endoscopically. With a significant improvement of his inflammatory response, an esophageal bypass operation was performed. As a result, he was discharged from the hospital to receive home care and became to intake orally. A drainage via esophageal fistula using an ENBD tube could be a beneficial method to improve QOL (Quality of life). This is a report that performed successful drainage via esophageal fistula using an Naso-Biliary drainage tube for esophagopleural fistula and pulmonary suppuration.

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