Wang Fei, Yu Hong, Zhu Ming-Hui, Li Quan-Peng, Ge Xian-Xiu, Nie Jun-Jie, Miao Lin
Fei Wang, Hong Yu, Quan-Peng Li, Xian-Xiu Ge, Jun-Jie Nie, Lin Miao, Institute of Digestive Endoscopy and Medical Center for Digestive Diseases, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, Jiangsu Province, China.
World J Gastroenterol. 2015 Jan 21;21(3):1032-5. doi: 10.3748/wjg.v21.i3.1032.
A 67-year-old man had a sev-ere cough and pulmonary infection for 1 wk before seeking evaluation at our hospital. He had undergone esophagectomy with gastric pull-up and radiotherapy for esophageal cancer 3 years previously. After admission to our hospital, gastroscopy and bronchoscopy revealed a fistulous communication between the posterior tracheal wall near the carina and the upper residual stomach. We measured the diameter of the trachea and bronchus and determined the site and size of the fistula using multislice computed tomography and gastroscopy. A covered self-expanding Y-shaped metallic stent was implanted into the trachea and bronchus. Subsequently, the fistula was closed completely. The patient tolerated the stent well and had good palliation of his symptoms.
一名67岁男性在因严重咳嗽和肺部感染1周后来我院就诊。他3年前因食管癌接受了食管切除术并胃上提术及放疗。入院后，胃镜和支气管镜检查发现隆突附近气管后壁与残胃上部之间存在瘘管相通。我们使用多层计算机断层扫描和胃镜测量了气管和支气管的直径，并确定了瘘管的部位和大小。将一个带覆膜的自膨式Y形金属支架植入气管和支气管。随后，瘘管完全闭合。患者对支架耐受性良好，症状得到明显缓解。
