Tracheoesophageal fistula caused by a self-expanding esophageal stent.
A patient is presented who had previously undergone an esophagectomy for an adenocarcinoma of distal esophagus. He experienced repeated strictures at the esophagogastric anastomosis at 22 cm. After multiple dilatations, a self-expanding metal stent was placed. Four months later the upper edge of the stent eroded through the esophagus into the trachea, forming a tracheoesophageal fistula. Muscle flap repair was successful.
Schowengerdt
C G
CG
Genesis Healthcare System, Zanesville, Ohio, USA. schowe@msmisp.com
D004938:Esophageal Neoplasms / Q000150:complications; D004940:Esophageal Stenosis / Q000209:etiology / Q000628:therapy; D004947:Esophagus; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents / Q000009:adverse effects*; D014138:Tracheoesophageal Fistula / Q000209:etiology* / Q000601:surgery