Bronchial Obstruction by Mediastinal Lymph Node Metastasis From Lung Cancer After Insertion of a Self-Expanding Metallic Stent for Esophageal Stenosis

DOI Web Site 1 Citations 11 References

Bibliographic Information

Other Title
  • 縦隔リンパ節転移腫ようによる食道狭窄に対して食道ステント留置術後に気管支狭窄をきたした肺へん平上皮癌の１例

Search this article

Description

Background. Esophageal stenting has emerged as a common palliative treatment for esophageal stenosis due to malignant tumor. However, acute tracheo-brochial obstruction after esophageal self-expanding metallic stent (SEMS) placement is sometimes life-threatening and must be considered as an important adverse event. Recently cases of acute tracheo-bronchial obstruction after insertion of esophageal stents have been reported, and the use of tracheo-bronchial stents for treating adverse events has been a matter of recent contention. Case. We report the case of a 68-year-old man with lung cancer who underwent chemo- and radiotherapy. Esophageal stenosis developed due to relapse of mediastinal lymph node metastasis, and a SEMS was placed for esophageal stenosis. Acute bronchial obstruction induced by mediastinal lymph node migration occurred 18 h later. After SEMS placement for the bronchial obstruction, symptoms improved markedly. However he died of pneumonia due to esophago-tracheobroncheal fistula. Conclusion. When placement of SEMS is needed for malignant esophageal stenosis, prophylactic tracheo-bronchial stenting to avoid acute tracheo-bronchial obstruction should be discussed. Such cases must undergo strict follow-up until 4 weeks after esophageal SEMS placement. In addition, after placement of double stenting, the possibility of the development of esophago-tracheobronchial fistula must be carefully considered.

Journal

  • Haigan

    Haigan 45 (6), 739-744, 2005

    The Japan Lung Cancer Society

Citations (1)*help

See more

References(11)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top