Stenting for cervical tracheo-esophageal malignant fistula: a case report.
Esophago-respiratory neoplastic fistulas present serious problems of management, mostly because of the severe status of the patient. The authors present the case of a 49-year-old patient with a malignant eso-tracheal fistula manifesting as mild dysphagia and dyspnoea. An endoscopic palliative treatment of the fistula was performed introducing a metallic coated stent into the esophagus. The multiple stent displacement required a definitive, very high positioning of the stent in the lower pharynx, with significant discomfort. Severe respiratory conditions regressed and the patient survived 6 months after the initial placement. The authors suggest endoscopic palliation with esophageal prosthesis as the therapeutic choice in those cases not amenable to surgery.
Dimofte
Gabriel
G
1st Surgical Clinic, Gr. T. Popa University of Medicine and Pharmacy, Str. Vasile Conta no.1, 6600 Iaşi, Romania.
Crumpei
Felicia
F
Grigoraş
Mihai
M
Isloi
Anca
A
Grigoraş
Ioana
I
D004938:Esophageal Neoplasms / Q000150:complications*; D005548:Foreign-Body Migration; D006801:Humans; D008875:Middle Aged; D010166:Palliative Care; D019919:Prosthesis Implantation; D015607:Stents; D014132:Trachea / Q000473:pathology* / Q000601:surgery; D014138:Tracheoesophageal Fistula / Q000209:etiology* / Q000601:surgery*; D016896:Treatment Outcome