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Treatment of a ruptured anastomotic esophageal stricture following bougienage with a Dacron-covered nitinol stent.

作者信息

Heindel W, Gossmann A, Fischbach R, Michel O, Lackner K

机构信息

Department of Diagnostic Radiology, University of Cologne, Lindenthal, Germany.

出版信息

Cardiovasc Intervent Radiol. 1996 Nov-Dec;19(6):431-4. doi: 10.1007/BF02577633.

DOI:10.1007/BF02577633
PMID:8994711
Abstract

A patient suffering from esophagorespiratory fistula after bougienage of a benign stricture at the site of the anastomosis between a jejunal interposition and the esophagus was referred for interventional treatment. A prototype nitinol stent centrally covered with Dacron was implanted under regional anesthesia and fluoroscopic guidance. The self-expanding prosthesis dilated the stenosis completely and closed the fistula, with consequent improvement in respiratory and nutritional status and thus the general quality of life. The patient was able to eat and drink normally until death 3 months later due to progression of his underlying malignant disease.

摘要

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本文引用的文献

1
Nitinol intravascular stent: results of preclinical evaluation.镍钛诺血管内支架:临床前评估结果
Radiology. 1993 Dec;189(3):775-8. doi: 10.1148/radiology.189.3.8234703.
2
Endoscopic perforations of the upper digestive tract: a review of their pathogenesis, prevention, and management.上消化道内镜穿孔:发病机制、预防及处理的综述
Gastroenterology. 1994 Mar;106(3):787-802. doi: 10.1016/0016-5085(94)90717-x.
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N Engl J Med. 1993 Oct 28;329(18):1302-7. doi: 10.1056/NEJM199310283291803.
5
Esophagorespiratory fistula associated with esophageal cancer: treatment with a Gianturco stent tube.食管癌相关的食管气管瘘:应用朱安特科支架管治疗
Radiology. 1993 Jun;187(3):673-7. doi: 10.1148/radiology.187.3.7684529.
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[The palliative closure of an esophageal-bronchial fistula with a coated metal stent].
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Silicone-covered self-expanding metallic stents for the palliation of malignant esophageal obstruction and esophagorespiratory fistulas: experience in 32 patients and a review of the literature.
Gastrointest Endosc. 1994 Jan-Feb;40(1):22-33. doi: 10.1016/s0016-5107(94)70005-2.
8
Treatment of instrumental oesophageal perforation.器械性食管穿孔的治疗
Gut. 1984 Apr;25(4):398-404. doi: 10.1136/gut.25.4.398.
9
Malignant tracheoesophageal fistula.恶性气管食管瘘
Ann Thorac Surg. 1984 Apr;37(4):346-54. doi: 10.1016/s0003-4975(10)60745-x.
10
Pessimism concerning palliative bypass procedures for established malignant esophagorespiratory fistulas: a report of 18 patients.
Ann Thorac Surg. 1984 Feb;37(2):108-10. doi: 10.1016/s0003-4975(10)60295-0.