[Esophago-bronchial fistula which developed after the insertion of an expandable metallic stent for corrosive esophageal stenosis].
A 69-year-old man attempted suicide by abdominal penetrating injury and taking sulfonyl acid. After a laparotomic drainage operation, corrosive esophageal stenosis occurred. Esophageal bougienage was not effective. An expandable metallic stent (GIANTURCO-ROCHE Z stent, Cook Bloomington U.S.A.) was inserted aiming to achieve temporary oral diet and nutritional improvement. But diet did not improve sufficiently because of the awareness of the prosthesis, severe hiccup, uncontrolled regurgitation esophagitis and restenosis caused by intraluminal mucosal growth. After 4 months of insertion, an esophago-bronchial fistula was produced by the wire of EMS. An operation became necessary for this complication. No data exist on the long-term use of the EMS and it is not suitable for benign esophageal stenosis. Unavoidably if the palliative treatment of endoprosthesis is necessary for benign esophageal stenosis such as corrosive esophageal stenosis, a removable esophageal tube prosthesis is preferable.
Tagawa
T
T
Department of Surgery, Kitakyushu Yahata City Hospital, Fukuoka, Japan.
Itoh
S
S
Ide
S
S
Tanaka
K
K
Sumida
Y
Y
Ohe
H
H
D000368:Aged; D001983:Bronchial Fistula / Q000209:etiology*; D004322:Drainage; D004937:Esophageal Fistula / Q000209:etiology*; D004940:Esophageal Stenosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D015607:Stents; D013406:Suicide, Attempted