| 篇名 |
Management of a cervical tracheoesophageal fistula with a modified self-expanding metal stent: Report of a case |
| 作者 |
Ying-Chieh Su, Yao Fong*, Jhao-Kun Chen, Yueh-Feng Tsai |
| 卷期/出版年月 |
44卷5期 (2011/10) |
| 頁次 |
196-198 |
| 摘要 |
Treatment of tracheoesophageal (TE) fistula is always a challenge, in particular TE
fistula caused by malignancy. In the past decade, the development of a self-expanding metal
stent (SEMS) has made management of esophageal stenosis or perforation much easier. Nevertheless,
management of a cervical esophageal lesion is still debatable. A cervical esophageal
stent may compromise the upper esophageal sphincter (UES) function and is usually listed as
a contraindication. Here, a 53-year-old male had cervical esophageal cancer complicated with
a TE fistula. After initial management with a SEMS, the patient had temporary improvement,
but later suffered a recurrent TE fistula. The TE fistula was successfully managed by the placement
of a second modified SEMS just below the UES without removal of the previous SEMS. The
patient tolerated the procedure well and regained proper swallowing function. |
| 關鍵詞 |
cervical esophageal cancer;double esophageal stent;esophageal stent;self-expanding metal stent;tracheoesophageal fistula |
| 分類 |
Case Report |
