Article ; Online: Esophagobronchial fistula successfully managed with a self-expandable metallic stent followed by fixation using a silicon Y stent.
2022 Volume 13, Issue 20, Page(s) 2908–2910
Abstract: ... in the left main bronchus. Then, a silicone Y stent (16 × 13 × 13 mm in outer diameter) was inserted ... to support the SEMS from the inside. After placing the SEMS and Y stent, the position of the SEMS was ...
Abstract | Esophagobronchial fistula (EBF) formation is a severe complication of advanced thoracic malignancies, that affects the prognosis and quality of life of patients. This study reports the case of an 80-year-old man with advanced esophageal cancer, complicated by EBF formation in the left main bronchus proximal to the carina following chemoradiation therapy. A fully covered stent was placed in the left main bronchus but was dislocated on the oral side. The attempt to place a partially covered self-expandable metallic stent (SEMS) also failed due to stent dislocation on the oral side. To avoid stent dislocation, a partially covered SEMS with a length of 40 mm and a diameter of 16 mm was placed to cover the EBF in the left main bronchus. Then, a silicone Y stent (16 × 13 × 13 mm in outer diameter) was inserted to support the SEMS from the inside. After placing the SEMS and Y stent, the position of the SEMS was stabilized. The patient remained stable with adequate oral intake. |
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MeSH term(s) | Aged, 80 and over ; Bronchial Fistula/etiology ; Bronchial Fistula/surgery ; Esophageal Fistula/etiology ; Esophageal Fistula/surgery ; Humans ; Male ; Quality of Life ; Retrospective Studies ; Silicon ; Silicones ; Stents/adverse effects ; Treatment Outcome |
Chemical Substances | Silicones ; Silicon (Z4152N8IUI) |
Language | English |
Publishing date | 2022-08-31 |
Publishing country | Singapore |
Document type | Case Reports |
ZDB-ID | 2625856-0 |
ISSN | 1759-7714 ; 1759-7706 |
ISSN (online) | 1759-7714 |
ISSN | 1759-7706 |
DOI | 10.1111/1759-7714.14625 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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