TRACHEOTOMY is a well-known and time-honored means of entering the respiratory tract when necessity indicates. Too often, however, when one thinks of entering the upper gastrointestinal tract the initial thought is focused upon gastrostomy. It is the intent of this paper to arouse the reader to consider the possibility, when indicated of employing the technique of pharyngoesophagostomy as a means of gaining access to the upper digestive tract. Pharyngoesophagostomy connotes the creation of a pharyngocutaneous fistula, the site of entrance into the upper digestive tract being either in the pyriform sinus or the cervical esophagus.
The indications for a procedure such as this might be categorized into two groups, namely, those instances in which the nutritional needs of the patient cannot be fulfilled because the voluntary stages of mastication and deglutition no longer serve the patient adequately;1 and secondly, in those cases in which it is desirable o
SKOLNIK EM, TENTA LT, MASSARI FS. Pharyngo-esophagostomy. Arch Otolaryngol. 1966;84(5):534–537. doi:10.1001/archotol.1966.00760030536014
Monkeypox Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.