A Case of Esophagobronchial Fistula Treated by Double Stenting

DOI 12 Citations 10 References

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  • ダブルステント治療により食道気管支瘻閉鎖に成功した食道癌の 1 例

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A 60-year-old man visited our hospital with dysphagia and high fever. An abnormal shadow was seen on his chest X-ray film. Esophagobronchial fistula was found out by fiberoptic bronchoscope, and esophageal cancer was diagnosed by endoscopic biopsy. Chest X-ray film showed severe pneumonia in the left lower lobe. After admission, a Dumon stent was inserted into the left main bronchus to seal the fistulae. Since the fistulae was incompletely sealed by the airway stent, we used an esophageal balloon stent. The stent with a balloon, made of silicone, was inserted into the esophagus. Because the fistulae was completely sealed, be able to drink fluid and palalysis of the reccurrent nerve did not occur. Double stenting is an effective method to improve the quality of life of patients with fistulae involving the esophagus and the airway.

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