Miwa Keisuke, Mitsuoka Masahiro, Tayama Kohsuke, Tomita Naofumi, Takamori Shinzo, Hayashi Akihiro, Shirouzu Kazuo
Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka 830-0011, Japan.
Chest. 2002 Oct;122(4):1485-7. doi: 10.1378/chest.122.4.1485.
We present the case of a 55-year-old man with advanced esophageal cancer who was successfully treated using a self-expandable metallic stent (S-EMS) for 6 months and subsequently was treated for an esophagobronchial fistula as a complication of the initial S-EMS using a silicone airway stent for an additional 4 months. This is the first report in the literature concerning penetration into the airway of an S-EMS implanted in the esophagus. The present case suggests that airway stenting using a silicone stent as treatment for an esophagobronchial fistula may represent a useful modality.
我们报告一例55岁晚期食管癌男性患者,其成功使用自膨式金属支架(S-EMS)治疗6个月,随后作为初始S-EMS并发症的食管支气管瘘,又使用硅酮气道支架治疗了4个月。这是文献中首例关于植入食管的S-EMS穿透气道的报告。本病例提示,使用硅酮支架进行气道支架置入术治疗食管支气管瘘可能是一种有效的治疗方式。