Diversion of the gastrointestinal tract for distal obstruction or perforation is commonly practiced, yet cervical esophagostomy is rarely applied to such problems when they occur in the esophagus. The procedure can be performed quickly, with little stress to the patient, under local anesthesia if desired. Indications for this procedure include esophageal perforation in patients too ill to tolerate thoracotomy, detection of esophageal perforation or suture line breakdown at a time too late to permit primary repair, benign or malignant obstruction of the esophagus associated with persistent pneumonitis when it is desirable to postpone direct therapy until the patient's general condition improves, and in selected cases of tracheo-esophageal fistula related to carcinoma of the lung or esophagus. Results of this treatment in 15 patients are presented.
Rush BF, Lazaro EJ, Vaughan LH, Malette W. Cervical Esophagostomy—A Neglected Operation. Arch Surg. 1970;101(2):145-148. doi:10.1001/archsurg.1970.01340260049008