Abstract
Esophageal intubation was employed to seal esophageal leaks in patients with malignant tracheoesophageal fistula; anastomotic leak following esophagogastrectomy; and instrumental or spontaneous perforation in the normal, the inflamed, and the carcinomatous esophagus. In all these instances the Celestin tube controlled the esophageal spillage and facilitated spontaneous healing of the defect. Esophageal intubation is not recommended as an alternative to suture repair for ordinary perforations of the esophagus. The procedure, however, seems to be an effective treatment for disruption of the esophagus in life-threatening situations in which operative intervention poses prohibitive risks and in situations in which the direct operative approach is not applicable.
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