Document Detail


Successful management of multiple esophagorespiratory fistulas using two types of stent: Report of a case.
MedLine Citation:
PMID:  21431494     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We herein describe a 41-year-old man with esophageal cancer who developed three esophagorespiratory fistulas (ERFs) that were successfully treated using one esophageal and three airway stents. A self-expandable metallic stent (SEMS) was initially inserted into the esophagus to close an ERF in the right bronchus. However, two new ERFs developed in the trachea and the left main bronchus 3 months later because of pressure necrosis and penetration of the esophageal SEMS. These secondary ERFs were subsequently closed using two silicone stents, together with one SEMS in the airway. This experience suggests that appropriate stenting can control multiple and large ERFs.
Authors:
Yoichi Hamai; Jun Hihara; Manabu Emi; Riki Okita; Katsuhiko Shimizu; Morihito Okada
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Publication Detail:
Type:  Journal Article     Date:  2011-03-23
Journal Detail:
Title:  Surgery today     Volume:  41     ISSN:  1436-2813     ISO Abbreviation:  Surg. Today     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-03-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  560-2     Citation Subset:  IM    
Affiliation:
Department of Surgical Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.
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