Sems (self expanding metal stents) in a patient with esophagogastric cancer and esophagorespiratory fistula (ERF).
Esophagorespiratory fistulas, especially in the upper third of the esophagus, are a complication of malignant esophageal tumors, whose management is difficult and prognosis is poor. Treatment is palliative and involves restoration of the ability to ingest food and prevention of aspiration by insertion of esophageal or tracheobronchial stents. In selected patients the insertion of a single stent may be insufficient for pallation therefore the placement of parallel stents may be indicated in patients with symptoms caused by malignant esophagorespiratory fistula. A case of esophagorespiratory fistula managed with insertion of parallel stents is presented.
Montesano
Marilena
M
Dipartimento delle Malattie dell'Apparato Digerente Università Campus Bio-Medico, Roma, Italy. m.montesano@unicampus.it
Crucitti
Pierfilippo
P
Pandolfi
Monica
M
Zanca
Annie
A
Gabbrielli
Armando
A
Coppola
Roberto
R
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging / Q000628:therapy*; D004938:Esophageal Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D010166:Palliative Care; D015607:Stents; D013274:Stomach Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D014138:Tracheoesophageal Fistula / Q000000981:diagnostic imaging / Q000628:therapy*