title: Management of spontaneous perforation of esophageal cancer with covered self expanding metallic stents.
abstract: Optimal management of esophageal perforation is controversial, especially in the presence of malignancy. Esophagectomy has traditionally been employed for patients with malignant perforations. However, in patients with advanced disease, other less invasive treatment options may be of benefit. We present two cases of spontaneous perforation of advanced esophageal cancer successfully managed by insertion of covered self-expanding metallic stents and a review of the literature.
authors.affiliation: Division of Esophageal Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong.
authors.forename: L
authors.initials: L
authors.lastname: Ferri
authors.forename: J K-T
authors.initials: JK
authors.lastname: Lee
authors.forename: S
authors.initials: S
authors.lastname: Law
authors.forename: K-H
authors.initials: KH
authors.lastname: Wong
authors.forename: K-F
authors.initials: KF
authors.lastname: Kwok
authors.forename: J
authors.initials: J
authors.lastname: Wong
mesh_terms: D000368:Aged; D018288:Carcinoma, Small Cell / Q000150:complications / Q000628:therapy*; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000628:therapy*; D004938:Esophageal Neoplasms / Q000150:complications / Q000628:therapy*; D004939:Esophageal Perforation / Q000209:etiology / Q000628:therapy*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000295:instrumentation*; D015607:Stents; D016896:Treatment Outcome