title: Treatment of an esophagorespiratory fistula by insertion of an esophageal Montgomery and tracheal dynamic stent after failure of conventional endoprosthesis.
abstract: Esophagorespiratory fistulae at the adult age can develop through malignant tumor growth, endoscopy, bougienage, laser therapy, or through a radiochemotherapy. We report a female patient with inoperable bronchial cancer, who developed a symptomatic esophagorespiratory fistula during radiochemotherapy with cisplatin. At first, conventional plastic tubes and then novel selfexpanding silicone-coated Gianturco-Song stents were used in an unsuccessful attempt to close the fistula. After the extraction of two Gianturco-Song stents, the insertion of a Montgomery-Salivary bypass stent in the esophagus and a dynamic stent in the trachea resulted in a permanent occlusion of the fistula. This case demonstrates that Montgomery-Salivary bypass stents do not tend to migrate due to their characteristic shape and self-fixation, and that the novel self-expanding, silicone coated Gianturco-Song stents can be extracted with rigid endoscopy if necessary.
authors.affiliation: Second Medical Clinic, Technical University, Munich, Germany.
authors.forename: C
authors.initials: C
authors.lastname: Alexiou
authors.forename: H
authors.initials: H
authors.lastname: Neuhaus
authors.forename: R J
authors.initials: RJ
authors.lastname: Kau
authors.forename: R
authors.initials: R
authors.lastname: Hauck
authors.forename: M
authors.initials: M
authors.lastname: Classen
mesh_terms: D000328:Adult; D004947:Esophagus / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D011475:Prosthesis Failure; D019919:Prosthesis Implantation; D011859:Radiography; D015607:Stents; D013997:Time Factors; D014138:Tracheoesophageal Fistula / Q000601:surgery*