title: [Usefulness of esophageal stenting for esophagorespiratory fistula with esophageal cancer].
abstract: We evaluated the outcome of esophageal stenting for esophagorespiratory fistula in patients with advanced esophageal cancer. Six patients with such fistula underwent esophageal stenting at our department from January 2000 to May 2012. Intraoral ingestion improved in all patients. Cough decreased immediately after stenting in 3 patients, and pneumonia detected by chest radiography improved within 1 week in 2 patients. Ventilation was weaned 2 days after stenting in 1 patient. The median survival duration after stenting was 31 days, and the cause of death was cancer in all patients. The following background factors were identified at the time of death: bleeding(n=3), mediastinitis(n=1), and pneumonia(n=1). Esophageal stenting, which should always be performed with the informed consent of the patient, improves respiratory symptoms, intraoral ingestion, and quality of life. Therefore, it is one of the best palliative therapies for patients with esophagorespiratory fistula associated with advanced esophageal cancer.
authors.affiliation: Dept. of Surgery, Iwate Medical University, Japan.
authors.forename: Masafumi
authors.initials: M
authors.lastname: Konosu
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Kimura
authors.forename: Takeshi
authors.initials: T
authors.lastname: Iwaya
authors.forename: Yuji
authors.initials: Y
authors.lastname: Akiyama
authors.forename: Hisataka
authors.initials: H
authors.lastname: Fujiwara
authors.forename: Fumitaka
authors.initials: F
authors.lastname: Endo
authors.forename: Akio
authors.initials: A
authors.lastname: Sugitachi
authors.forename: Satoshi
authors.initials: S
authors.lastname: Nishizuka
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nitta
authors.forename: Koki
authors.initials: K
authors.lastname: Otsuka
authors.forename: Masahiro
authors.initials: M
authors.lastname: Kashiwaba
authors.forename: Keisuke
authors.initials: K
authors.lastname: Koeda
authors.forename: Akira
authors.initials: A
authors.lastname: Sasaki
authors.forename: Masaru
authors.initials: M
authors.lastname: Mizuno
authors.forename: Go
authors.initials: G
authors.lastname: Wakabayashi
mesh_terms: D000368:Aged; D004938:Esophageal Neoplasms / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D011788:Quality of Life; D012189:Retrospective Studies; D015607:Stents; D014138:Tracheoesophageal Fistula / Q000209:etiology / Q000628:therapy*