Ghaffaripour Sina, Souki Fouad G, Martinez-Lu Kianfa, Wakim Gisele
1 Jackson Memorial Hospital, University of Miami, Miami, FL, USA.
Semin Cardiothorac Vasc Anesth. 2017 Dec;21(4):357-359. doi: 10.1177/1089253217706165. Epub 2017 Apr 19.
Tracheoesophageal fistula develops in 5 % to 15 % of patients with esophageal cancer. Metal stent placement can be used for treatment. Stent placement can result in aspiration, hemorrhage, perforation, migration, and pneumonia. Patients may present for medical attention with unanticipated worsening of the fistula and stent displacement requiring special anesthetic care. We discuss the perianesthetic management of a patient with malignant tracheoesophageal fistula and stent migration who presented for endoscopic esophageal stent replacement.
食管癌患者中5%至15%会发生气管食管瘘。可采用金属支架置入术进行治疗。支架置入可能导致误吸、出血、穿孔、移位及肺炎。患者可能因瘘口意外恶化和支架移位而前来就医，这需要特殊的麻醉护理。我们讨论了一名患有恶性气管食管瘘和支架移位的患者在内镜下进行食管支架置换时的围麻醉期管理。
