[Occlusion of an esophagobronchial fistula by implantation of a Montgomery esophageal and a dynamic tracheal stent after failure of conventional endoprosthesis].
Esophagorespiratory fistulas were frequently caused by malignant tumors, bougienage, laser therapy or radiochemotherapy. We here report the case of a patient with inoperable bronchial cancer, who developed a symptomatic esophagorespiratory fistula during combined radiochemotherapy with Cisplatin. A sufficient occlusion of the fistula could not be achieved with conventional plastic tubes or novel self-expanding silicone-coated Gianturco Song stents. After extraction of two Gianturco Song stents we inserted a Montgomery Salivary Bypass Stent into the esophagus and Dynamic stent into the trachea. This resulted in a total occlusion of the fistula. This present case suggests that the Montgomery stent may have little tendency to migrate due to its characteristic configuration and fixation and further demonstrates that the novel self-expanding silicone-coated Gianturco Song stents can be removed, if necessary.
Alexiou
C
C
II. Medizinische Klinik und Poliklinik der TU München, Klinikum rechts der Isar.
Neuhaus
H
H
Kau
R J
RJ
Hauck
R
R
Schick
R R
RR
Classen
M
M
D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000628:therapy*; D000328:Adult; D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D002283:Carcinoma, Bronchogenic / Q000000981:diagnostic imaging / Q000628:therapy*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy*; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D012008:Recurrence; D015607:Stents; D014138:Tracheoesophageal Fistula / Q000000981:diagnostic imaging / Q000628:therapy*