Multiple fistulas and tracheobronchial stenoses require extensive stenting of the central airways and esophagus in squamous-cell carcinoma
Details
Serval ID
serval:BIB_58660A1C3FE2
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Multiple fistulas and tracheobronchial stenoses require extensive stenting of the central airways and esophagus in squamous-cell carcinoma
Journal
Endoscopy
ISSN
0013-726X (Print)
Publication state
Published
Issued date
05/1996
Volume
28
Number
4
Pages
381-5
Notes
Case Reports
Journal Article --- Old month value: May
Journal Article --- Old month value: May
Abstract
We report here on two cases of double airway and esophageal stenting in patients with multiple esophagotracheal fistulas and stenoses of the airways and esophagus due to squamous-cell carcinoma. Dumon stents and a Strecker device were used for tracheobronchial stenting. Covered Gianturco Z-stents were implanted into the esophagus. In one case, extrinsic compression of the trachea and tumor progression required recanalization by Nd:YAG laser. Clinical improvement led to discharge of the patients within two weeks after the procedure. The results show that simultaneous implantation of stents in the central airways and covered Gianturco Z-stents in the esophagus is an effective therapeutic strategy in patients with tracheal and esophageal obstructions and esophagorespiratory fistulas. Further systematic studies evaluating double stenting are warranted.
Keywords
Aged
Bronchial Diseases/*therapy
Bronchial Neoplasms/*complications/pathology
Bronchoscopy
Carcinoma, Squamous Cell/*complications/pathology
Constriction, Pathologic/therapy
Esophageal Neoplasms/*complications/pathology
Esophageal Stenosis/therapy
Fatal Outcome
Follow-Up Studies
Humans
Male
Middle Aged
Neoplasm Invasiveness
*Stents
Tracheal Neoplasms/complications/pathology
Tracheal Stenosis/*therapy
Tracheoesophageal Fistula/*therapy
Pubmed
Web of science
Create date
25/01/2008 17:08
Last modification date
20/08/2019 15:12