Successful management of multiple esophagorespiratory fistulas using two types of stent: report of a case

Surg Today. 2011 Apr;41(4):560-2. doi: 10.1007/s00595-009-4298-9. Epub 2011 Mar 23.

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Carcinoma, Squamous Cell / complications*
  • Carcinoma, Squamous Cell / therapy
  • Combined Modality Therapy
  • Esophageal Fistula / etiology*
  • Esophageal Fistula / surgery*
  • Esophageal Neoplasms / complications*
  • Esophageal Neoplasms / therapy
  • Esophageal Stenosis / etiology*
  • Esophageal Stenosis / surgery*
  • Fatal Outcome
  • Foreign-Body Migration
  • Humans
  • Male
  • Metals
  • Neoplasm Invasiveness
  • Quality of Life
  • Silicones
  • Stents*
  • Tomography, X-Ray Computed

Substances

  • Metals
  • Silicones