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 language | English (US) |
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Pages (from-to) | 65-70 |
Number of pages | 6 |
Journal | Radiology |
Volume | 199 |
Issue number | 1 |
DOIs | |
State | Published - Apr 1996 |
Externally published | Yes |
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