title: Esotracheal Fistula in Esophageal Stenoses of Malignant Origin - Case Report.
abstract: BACKGROUND
  Approximately 80% of acquired eso-tracheal or mediastinal fistulae are of malignant nature. The occurrence of an eso-respiratory malignant fistula is a devastating complication for both patient and doctor, and, if not treated, records a survival time of 1 to 6 weeks.
  We present a patient, aged 51, smoker,with progressive dysphagia, at first to solids, then to semi-solids and liquids, followed by manifestation of post-deglutition cough due to eso-tracheal fistula, incapability of feeding, and decline of the general condition. Surgical intervention consists of esophageal transstenotic endo-prosthesing by transtumoral drilling with prosthetic montage and the occlusion of the eso-tracheal fistulous orifice.
  
  
  RESULTS
  The post-operatory evolution is favorable, the feeding per os resumes in 8 hours after surgery, good digestive tolerance. The radiologic examination using contrast medium, performed in 48 hours after surgery, reveals a permeable esophageal endo-prosthesis, without reflux of contrast substance in the tracheobronchial tree.
  
  
  CONCLUSIONS
  The laparo-gastroscopic montage of prosthesis through transtumoral drilling, using siliconized semi-rigid prostheses, represents the only efficient palliative treatment of malignant eso-tracheal or eso-bronchial fistula.
authors.forename: D
authors.initials: D
authors.lastname: Sabău
authors.forename: A
authors.initials: A
authors.lastname: Dumitra
authors.forename: A
authors.initials: A
authors.lastname: Sabău
authors.forename: D
authors.initials: D
authors.lastname: Maniu
authors.forename: A
authors.initials: A
authors.lastname: Mitachescu
authors.forename: S
authors.initials: S
authors.lastname: Ilie
authors.forename: R
authors.initials: R
authors.lastname: Hulpus
authors.forename: G
authors.initials: G
authors.lastname: Smarandache
mesh_terms: D000230:Adenocarcinoma / Q000150:complications*; D004940:Esophageal Stenosis / Q000150:complications* / Q000209:etiology; D004945:Esophagoscopy; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000379:methods; D011788:Quality of Life; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects; D015607:Stents; D014138:Tracheoesophageal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D016896:Treatment Outcome