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Esophagobronchial fistula successfully managed with a self‐expandable metallic stent followed by fixation using a silicon Y stent

Esophagobronchial fistula (EBF) formation is a severe complication of advanced thoracic malignancies, that affects the prognosis and quality of life of patients. This study reports the case of an 80‐year‐old man with advanced esophageal cancer, complicated by EBF formation in the left main bronchus...

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Autores principales: Ohtsuka, Takashi, Kato, Daiki, Tsukamoto, Yo, Shibazaki, Takamasa, Nakada, Takeo, Yabe, Mitsuo, Hirano, Jun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9575121/
https://www.ncbi.nlm.nih.gov/pubmed/36043480
http://dx.doi.org/10.1111/1759-7714.14625
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author Ohtsuka, Takashi
Kato, Daiki
Tsukamoto, Yo
Shibazaki, Takamasa
Nakada, Takeo
Yabe, Mitsuo
Hirano, Jun
author_facet Ohtsuka, Takashi
Kato, Daiki
Tsukamoto, Yo
Shibazaki, Takamasa
Nakada, Takeo
Yabe, Mitsuo
Hirano, Jun
author_sort Ohtsuka, Takashi
collection PubMed
description Esophagobronchial fistula (EBF) formation is a severe complication of advanced thoracic malignancies, that affects the prognosis and quality of life of patients. This study reports the case of an 80‐year‐old man with advanced esophageal cancer, complicated by EBF formation in the left main bronchus proximal to the carina following chemoradiation therapy. A fully covered stent was placed in the left main bronchus but was dislocated on the oral side. The attempt to place a partially covered self‐expandable metallic stent (SEMS) also failed due to stent dislocation on the oral side. To avoid stent dislocation, a partially covered SEMS with a length of 40 mm and a diameter of 16 mm was placed to cover the EBF in the left main bronchus. Then, a silicone Y stent (16 × 13 × 13 mm in outer diameter) was inserted to support the SEMS from the inside. After placing the SEMS and Y stent, the position of the SEMS was stabilized. The patient remained stable with adequate oral intake.
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spelling pubmed-95751212022-10-17 Esophagobronchial fistula successfully managed with a self‐expandable metallic stent followed by fixation using a silicon Y stent Ohtsuka, Takashi Kato, Daiki Tsukamoto, Yo Shibazaki, Takamasa Nakada, Takeo Yabe, Mitsuo Hirano, Jun Thorac Cancer Case Reports Esophagobronchial fistula (EBF) formation is a severe complication of advanced thoracic malignancies, that affects the prognosis and quality of life of patients. This study reports the case of an 80‐year‐old man with advanced esophageal cancer, complicated by EBF formation in the left main bronchus proximal to the carina following chemoradiation therapy. A fully covered stent was placed in the left main bronchus but was dislocated on the oral side. The attempt to place a partially covered self‐expandable metallic stent (SEMS) also failed due to stent dislocation on the oral side. To avoid stent dislocation, a partially covered SEMS with a length of 40 mm and a diameter of 16 mm was placed to cover the EBF in the left main bronchus. Then, a silicone Y stent (16 × 13 × 13 mm in outer diameter) was inserted to support the SEMS from the inside. After placing the SEMS and Y stent, the position of the SEMS was stabilized. The patient remained stable with adequate oral intake. John Wiley & Sons Australia, Ltd 2022-08-31 2022-10 /pmc/articles/PMC9575121/ /pubmed/36043480 http://dx.doi.org/10.1111/1759-7714.14625 Text en © 2022 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Case Reports
Ohtsuka, Takashi
Kato, Daiki
Tsukamoto, Yo
Shibazaki, Takamasa
Nakada, Takeo
Yabe, Mitsuo
Hirano, Jun
Esophagobronchial fistula successfully managed with a self‐expandable metallic stent followed by fixation using a silicon Y stent
title Esophagobronchial fistula successfully managed with a self‐expandable metallic stent followed by fixation using a silicon Y stent
title_full Esophagobronchial fistula successfully managed with a self‐expandable metallic stent followed by fixation using a silicon Y stent
title_fullStr Esophagobronchial fistula successfully managed with a self‐expandable metallic stent followed by fixation using a silicon Y stent
title_full_unstemmed Esophagobronchial fistula successfully managed with a self‐expandable metallic stent followed by fixation using a silicon Y stent
title_short Esophagobronchial fistula successfully managed with a self‐expandable metallic stent followed by fixation using a silicon Y stent
title_sort esophagobronchial fistula successfully managed with a self‐expandable metallic stent followed by fixation using a silicon y stent
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9575121/
https://www.ncbi.nlm.nih.gov/pubmed/36043480
http://dx.doi.org/10.1111/1759-7714.14625
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