Nishio Yuya, Matsuo Hideki, Nagamatsu Shinsaku, Shioya Kazuki, Yamamoto Chisa, Kikukawa Shoma, Matsuura Kyohei, Fujimoto Yuki, Uejima Masakazu, Moriya Kei
Department of Gastroenterology, Nara Prefecture General Medical Center, Nara 630-8581, Japan.
Department of Endocrinology and Metabolism, Nara Prefecture General Medical Center, Nara 630-8581, Japan.
J Clin Med. 2024 Dec 4;13(23):7382. doi: 10.3390/jcm13237382.
: Esophago-tracheobronchial fistula is a severe and often fatal complication in patients with advanced esophageal cancer, requiring prompt attention. The standard treatment involves the placement of a covered stent, which is relatively simple to perform and effectively seals the fistula. However, stent migration remains a common issue, highlighting the need for improved methods to prevent it. : We developed an innovative double stenting method approach utilizing two types of metal stents for cases where conventional stenting led to early stent dislodgement. This technique combines the benefits of uncovered and fully covered stents while minimizing their limitations. Furthermore, it is straightforward and adaptable. In two cases treated at our facility, this method successfully maintained complete fistula coverage until the patients' deaths, allowing them to consume food orally. : Here, we describe the procedure in detail and discuss its significance, as our findings demonstrate the effectiveness of the double stenting technique.
食管气管支气管瘘是晚期食管癌患者中一种严重且往往致命的并发症，需要及时关注。标准治疗方法是放置覆膜支架，该操作相对简单且能有效封闭瘘口。然而，支架移位仍是一个常见问题，这凸显了改进预防方法的必要性。我们开发了一种创新的双支架置入方法，对于传统支架置入导致早期支架移位的病例，使用两种类型的金属支架。该技术结合了裸支架和全覆膜支架的优点，同时将其局限性降至最低。此外，它操作简便且适应性强。在我们机构治疗的两例病例中，这种方法成功地保持了对瘘口的完全覆盖，直至患者死亡，使他们能够经口进食。在此，我们详细描述该操作过程并讨论其意义，因为我们的研究结果证明了双支架技术的有效性。
