Esophagorespiratory fistulae due to esophageal carcinoma: Palliation with a covered Gianturco stent

被引:46
作者
Han, YM
Song, HY
Lee, JM
Cho, SI
Chung, GH
Kim, CS
Sohn, MH
Choi, KC
机构
[1] CHONBUK NATL UNIV,SCH MED,INST MED SCI,CHONJU 560182,SOUTH KOREA
[2] UNIV ULSAN,COLL MED,ASAN MED CTR,DEPT DIAGNOST RADIOL,ULSAN,SOUTH KOREA
关键词
esophagus; grafts and prostheses; interventional procedure; neoplasms; fistula; tracheoesophageal; stents and prostheses; trachea;
D O I
10.1148/radiology.199.1.8633174
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
PURPOSE: To evaluate therapeutic effects and complications of a covered Gianturco stent for esophagorespiratory fistulae. MATERIALS AND METHODS: Of 95 patients with esophageal carcinomas, 10 had esophagorespiratory fistulae and were treated with a silicone-covered Gianturco stent. The authors retrospectively assessed patients' food intake capacity and delayed problems of the stent. RESULTS: All fistulae were occluded without immediate complications. Two patients could swallow all foods; four, most foods; three, soft foods; and one, only liquids. Clinical problems occurred between 1 and 24 weeks in four patients: reopened fistula (n = 1), recurrent fistula (n 1) (both patients were successfully treated with another esophageal stent), and dyspnea (n = 2) due to tracheal compression by stent and tracheal invasion by tumor (one patient was treated with a tracheal stent). CONCLUSION: A silicone-covered modified Gianturco stent is effective for palliation of esophagorespiratory fistulae caused by esophageal cancer. Simultaneous use of a tracheal stent is recommended for extrinsic tracheal narrowing by the proximal tip of the stent and invasion by tumor.
引用
收藏
页码:65 / 70
页数:6
相关论文
共 27 条
[1]  
BOYCE HW, 1982, CANCER, V50, P2597
[2]  
BUESS G, 1988, CANCER-AM CANCER SOC, V61, P1679, DOI 10.1002/1097-0142(19880415)61:8<1679::AID-CNCR2820610828>3.0.CO
[3]  
2-X
[4]   MALIGNANT ESOPHAGORESPIRATORY FISTULA - MANAGEMENT OPTIONS AND SURVIVAL [J].
BURT, M ;
DIEHL, W ;
MARTINI, N ;
BAINS, MS ;
GINSBERG, RJ ;
MCCORMACK, PM ;
RUSCH, VW .
ANNALS OF THORACIC SURGERY, 1991, 52 (06) :1222-1229
[5]   MALIGNANT ESOPHAGEAL STRICTURES - TREATMENT WITH A SELF-EXPANDING NITINOL STENT [J].
CWIKIEL, W ;
STRIDBECK, H ;
TRANBERG, KG ;
VONHOLSTEIN, CS ;
HAMBRAEUS, G ;
LILLOGIL, R ;
WILLEN, R .
RADIOLOGY, 1993, 187 (03) :661-665
[6]   ESOPHAGORESPIRATORY FISTULA ASSOCIATED WITH ESOPHAGEAL CANCER - TREATMENT WITH A GIANTURCO STENT TUBE [J].
DO, YS ;
SONG, HY ;
LEE, BH ;
BYUN, HS ;
KIM, KH ;
CHIN, SY ;
PARK, JH .
RADIOLOGY, 1993, 187 (03) :673-677
[7]   MALIGNANT TRACHEOESOPHAGEAL FISTULA [J].
DURANCEAU, A ;
JAMIESON, GG .
ANNALS OF THORACIC SURGERY, 1984, 37 (04) :346-354
[8]   MALIGNANT ESOPHAGEAL STRICTURES - A REVIEW OF TECHNIQUES FOR PALLIATIVE INTUBATION [J].
EARLAM, R ;
CUNHAMELO, JR .
BRITISH JOURNAL OF SURGERY, 1982, 69 (02) :61-+
[9]  
FITZGERALD RH, 1981, J THORAC CARDIOV SUR, V82, P194
[10]   PALLIATIVE INTUBATION IN MANAGEMENT OF ESOPHAGEAL CARCINOMA [J].
GIRARDET, RE ;
RANSDELL, HT ;
WHEAT, MW .
ANNALS OF THORACIC SURGERY, 1974, 18 (04) :417-430