Esophagorespiratory fistulae due to esophageal carcinoma: Palliation with a covered Gianturco stent

Young Min Han, Ho Young Song, Jeong Min Lee, Seung Il Cho, Gyung Ho Chung, Chong Soo Kim, Myung Hee Sohn, Ki Chul Choi

Research output: Contribution to journalArticle

64 Scopus citations

Abstract

PURPOSE: To evaluate therapeutic effects and complications of a covered Gianturco stent for esophagorespiratory fistulae. MATERIALS AND METHODS: Of 95 patients with esophageal carcinomas, 10 had esophagorespiratory fistulae and were treated with a silicone-covered Gianturco stent. The authors retrospectively assessed patients' food intake capacity and delayed problems of the stent. RESULTS: All fistulae were occluded without immediate complications. Two patients could swallow all foods; four, most foods; three, soft foods; and one, only liquids. Clinical problems occurred between 1 and 24 weeks in four patients: reopened fistula (n = 11, recurrent fistula (n = 11 (both patients were successfully treated with another esophageal stent), and dyspnea (n = 2) due to tracheal compression by stent and tracheal invasion by tumor (one patient was treated with a tracheal stent). CONCLUSION: A silicone-covered modified Gianturco stent is effective for palliation of esophagorespiratory fistulae caused by esophageal cancer. Simultaneous use of a tracheal stent is recommended for extrinsic tracheal narrowing by the proximal tip of the stent and invasion by tumor.

Original languageEnglish (US)
Pages (from-to)65-70
Number of pages6
JournalRadiology
Volume199
Issue number1
DOIs
StatePublished - Apr 1996
Externally publishedYes

Keywords

  • Esophagus, grafts and prostheses
  • Esophagus, interventional procedure
  • Esophagus, neoplasms
  • Fistula, tracheoesophageal
  • Stents and prostheses
  • Trachea, interventional procedure

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Han, Y. M., Song, H. Y., Lee, J. M., Cho, S. I., Chung, G. H., Kim, C. S., Sohn, M. H., & Choi, K. C. (1996). Esophagorespiratory fistulae due to esophageal carcinoma: Palliation with a covered Gianturco stent. Radiology, 199(1), 65-70. https://doi.org/10.1148/radiology.199.1.8633174