title: Successful management of multiple esophagorespiratory fistulas using two types of stent: report of a case.
abstract: We herein describe a 41-year-old man with esophageal cancer who developed three esophagorespiratory fistulas (ERFs) that were successfully treated using one esophageal and three airway stents. A self-expandable metallic stent (SEMS) was initially inserted into the esophagus to close an ERF in the right bronchus. However, two new ERFs developed in the trachea and the left main bronchus 3 months later because of pressure necrosis and penetration of the esophageal SEMS. These secondary ERFs were subsequently closed using two silicone stents, together with one SEMS in the airway. This experience suggests that appropriate stenting can control multiple and large ERFs.
authors: Department of Surgical Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.
authors: Yoichi
authors: Y
authors: Hamai
authors: Jun
authors: J
authors: Hihara
authors: Manabu
authors: M
authors: Emi
authors: Riki
authors: R
authors: Okita
authors: Katsuhiko
authors: K
authors: Shimizu
authors: Morihito
authors: M
authors: Okada
mesh_terms: D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000150:complications* / Q000628:therapy; D003131:Combined Modality Therapy; D004937:Esophageal Fistula / Q000209:etiology* / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000150:complications* / Q000628:therapy; D004940:Esophageal Stenosis / Q000209:etiology* / Q000601:surgery*; D017809:Fatal Outcome; D005548:Foreign-Body Migration; D006801:Humans; D008297:Male; D008670:Metals; D009361:Neoplasm Invasiveness; D011788:Quality of Life; D012828:Silicones; D015607:Stents; D014057:Tomography, X-Ray Computed
chemical_list: D008670:Metals; D012828:Silicones