Esophageal Intubation

1. Advanced esophageal cancer can not be surgically removed, nor can it be treated with radiation, and those with severe obstruction cannot eat. 2. Those who have severe dysphagia during radiotherapy. 3. Surgery revealed that the tumor could not be removed, and the patient had more serious obstruction. It is urgent to remove the obstruction and solve the diet to maintain the nutrition. Treatment of diseases: esophageal sarcoma esophageal cancer Indication 1. Advanced esophageal cancer can not be surgically removed, nor can it be treated with radiation, and those with severe obstruction cannot eat. 2. Those who have severe dysphagia during radiotherapy. 3. Surgery revealed that the tumor could not be removed, and the patient had more serious obstruction. It is urgent to remove the obstruction and solve the diet to maintain the nutrition. Surgical procedure Place the upper end of a length of plastic tube in hot water and use a round stick to enlarge the tube into a funnel shape so that it can be placed over the narrow part of the tumor without falling down. There are two ways to place a tube: (1) Through the large esophagoscopy, gradually expand the esophagus with a dilator, and then put a suitable catheter. This method is relatively simple, and the patient has a lighter burden on the operation; however, due to the limitation of the inner diameter of the esophagus, only a thinner catheter can be placed, which is sometimes not satisfactory for relieving symptoms. (2) The other is open chest tube. The esophagus above the tumor is incised, and the narrowed portion of the tumor is dilated with a cervical dilator, and a suitable plastic tube is placed. Then, the esophageal incision is sutured, and the upper end of the catheter is fixed to the esophagus by suture or ligation to prevent the catheter from moving up. Postoperative diet Give liquid or semi-liquid foods, such as various porridge, rice soup and so on.