title: Gastrotracheal fistula: treatment with a covered self-expanding Y-shaped metallic stent.
abstract: A 67-year-old man had a sev-ere cough and pulmonary infection for 1 wk before seeking evaluation at our hospital. He had undergone esophagectomy with gastric pull-up and radiotherapy for esophageal cancer 3 years previously. After admission to our hospital, gastroscopy and bronchoscopy revealed a fistulous communication between the posterior tracheal wall near the carina and the upper residual stomach. We measured the diameter of the trachea and bronchus and determined the site and size of the fistula using multislice computed tomography and gastroscopy. A covered self-expanding Y-shaped metallic stent was implanted into the trachea and bronchus. Subsequently, the fistula was closed completely. The patient tolerated the stent well and had good palliation of his symptoms.
authors.affiliation: Fei Wang, Hong Yu, Quan-Peng Li, Xian-Xiu Ge, Jun-Jie Nie, Lin Miao, Institute of Digestive Endoscopy and Medical Center for Digestive Diseases, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, Jiangsu Province, China.
authors.forename: Fei
authors.initials: F
authors.lastname: Wang
authors.affiliation: Fei Wang, Hong Yu, Quan-Peng Li, Xian-Xiu Ge, Jun-Jie Nie, Lin Miao, Institute of Digestive Endoscopy and Medical Center for Digestive Diseases, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, Jiangsu Province, China.
authors.forename: Hong
authors.initials: H
authors.lastname: Yu
authors.affiliation: Fei Wang, Hong Yu, Quan-Peng Li, Xian-Xiu Ge, Jun-Jie Nie, Lin Miao, Institute of Digestive Endoscopy and Medical Center for Digestive Diseases, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, Jiangsu Province, China.
authors.forename: Ming-Hui
authors.initials: MH
authors.lastname: Zhu
authors.affiliation: Fei Wang, Hong Yu, Quan-Peng Li, Xian-Xiu Ge, Jun-Jie Nie, Lin Miao, Institute of Digestive Endoscopy and Medical Center for Digestive Diseases, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, Jiangsu Province, China.
authors.forename: Quan-Peng
authors.initials: QP
authors.lastname: Li
authors.affiliation: Fei Wang, Hong Yu, Quan-Peng Li, Xian-Xiu Ge, Jun-Jie Nie, Lin Miao, Institute of Digestive Endoscopy and Medical Center for Digestive Diseases, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, Jiangsu Province, China.
authors.forename: Xian-Xiu
authors.initials: XX
authors.lastname: Ge
authors.affiliation: Fei Wang, Hong Yu, Quan-Peng Li, Xian-Xiu Ge, Jun-Jie Nie, Lin Miao, Institute of Digestive Endoscopy and Medical Center for Digestive Diseases, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, Jiangsu Province, China.
authors.forename: Jun-Jie
authors.initials: JJ
authors.lastname: Nie
authors.affiliation: Fei Wang, Hong Yu, Quan-Peng Li, Xian-Xiu Ge, Jun-Jie Nie, Lin Miao, Institute of Digestive Endoscopy and Medical Center for Digestive Diseases, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, Jiangsu Province, China.
authors.forename: Lin
authors.initials: L
authors.lastname: Miao
mesh_terms: D000368:Aged; D001999:Bronchoscopy / Q000295:instrumentation*; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000009:adverse effects*; D017809:Fatal Outcome; D005747:Gastric Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008670:Metals; D061330:Multidetector Computed Tomography; D010166:Palliative Care; D011474:Prosthesis Design; D016156:Respiratory Tract Fistula / Q000175:diagnosis / Q000628:therapy*; D015607:Stents; D013997:Time Factors; D014133:Tracheal Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D008670:Metals
keywords: Esophageal cancer; Gastroesophageal surgery; Gastrotracheal fistula; Y-shaped metallic stent