Stenting for Cervical Tracheo-Esophageal
Malignant Fistula: a Case Report
Gabriel Dimofte1, F. Crumpei2, M.Grigoras2, A.Isloi3, Ioana Grigoras3
2) 1st Surgical Clinic, University of Medicine
and Pharmacy "Gr. T. Popa". 2) Department of Radiology,
University Hospital "St. Spiridon". 3) Department of Pathology,
University Hospital "C.I. Parhon". 4) Intensive Care Unit,
University Hospital "St. Spiridon", Iasi
Abstract
Esophago-respiratory neoplastic fistulas present serious problems
of management, mostly because of the severe status of the patient.
The authors present the case of a 49-year-old patient with a malignant
eso-tracheal fistula manifesting as mild dysphagia and dyspnoea.
An endoscopic palliative treatment of the fistula was performed
introducing a metallic coated stent into the esophagus. The multiple
stent displacement required a definitive, very high positioning
of the stent in the lower pharynx, with significant discomfort.
Severe respiratory conditions regressed and the patient survived
6 months after the initial placement. The authors suggest endoscopic
palliation with esophageal prosthesis as the therapeutic choice
in those cases not amenable to surgery.
Key words
Fistula - esophageal carcinoma - stent
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