Characteristics of Esophagorespiratory Fistulas Resulting from Esophageal Cancers: A Single‐Center Study on 243 Cases in a 20‐Year Period

Balázs, Ákos; Galambos, Zoltán; Kempler, Péter

doi:10.1007/s00268-009-9988-3

Cited by 32 publications

(24 citation statements)

References 43 publications

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“…In fact, there is much diversity of opinion, and controversy continues about which is the best approach [5][6][7][8][9][10][11][12][13][14]. Management options range from aggressive surgical intervention to conservative approaches.…”

Section: Discussionmentioning

confidence: 99%

Gastro-bronchial fistula closed by endoscopic fistula plug (with video)

et al. 2014

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Post-esophagectomy fistula is a morbid complication and the surgical treatments available are highly morbid and have variable success rates. Due to the development of new endoscopic technologies, the endotherapy has assumed new prominence for treatment of enteric fistula. This complex case illustrates feasibility of endoscopic fistula treatment using dual scope, biologic plug application which effectively controlled this patient's EBF symptoms.

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Section: Discussionmentioning

confidence: 99%

Gastro-bronchial fistula closed by endoscopic fistula plug (with video)

et al. 2014

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“…Since the 1990s, esophageal intubation with stents has gradually developed with high rates of complete closure of tracheo/broncho-esophageal fistula and improvement in symptoms of respiratory tract and quality of life [11][12][13]. In a retrospective analysis, Chen et al reported that SEMS could also significantly improve the overall survival in such patients [14].…”

Section: Malignant Stricturesmentioning

confidence: 97%

Gastrointestinal stenting: Current status and imaging features

Malgras

Dico

Pautrat

et al. 2015

Diagnostic and Interventional Imaging

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The use of stents in the gastrointestinal tract has been subjected to major changes. Initially, the use of stents was restricted to malignant strictures in patients with metastatic disease. But thanks to reduction of the morbidity and mortality rates, they are now used with curative intention and in patients with benign diseases after careful selection. However, for patients presenting with colon obstruction due to an advanced colon carcinoma, the mortality and morbidity are still high. The purpose of this review is to provide an overview of indications, techniques and further developments of the stents in the gastrointestinal tract and to highlight the predominant role of multidetector row computed tomography (MDCT) in the detection of potential complications.

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“…Some studies recommended 7mm length and 18mm diameter of SEMS in cervical esophagus according to reduced complications such as foreign body sensation [17]. The use of partially or fully covered metal stents in subjects with neoplasm fistula or perforation were useful and with good results [2,17,[23][24]. Modified covered SEMS prevents from stent migration [23].…”

Section: Technique Of Insertionmentioning

confidence: 99%

Palliation of Neoplastic Esophageal Strictures with Metallic Stents

Nozari¹

2017

JCTR

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Abstract:Most patients with advanced esophageal neoplasm have dysphagia and suffer from cachexia and malnourishment.Supportive treatments focus on symptom palliation and improving quality of life at this time. Guidelines illustrated some indications for stent use in esophageal neoplasm such as inoperable neoplastic obstruction, presence of neoplastic fistula or perforation, tumor recurrence and contraindication for chemo-radiotherapy. Palliative stents help relieve dysphagia, manage mouth secretions, reduce aspiration risk, and maintain oral intake. Stent placement sometimes requires both endoscopic and fluoroscopic guidance. A stricture dilation is not necessary before stent placement. Success rate of SEMS placement was reported 80-100%. Complications of stents are bleeding, perforation, migration, and tumor ingrowth. Coated SEMS are the treatment of choice in the presence of neoplastic trachea-esophageal fistula. Partially covered stents are used for neoplastic stricture but their removal is sometimes difficult. The stent can be left in esophagus indefinitely for palliation in cases with progressive disease. In this article, we reviewed the recent literatures for efficacy of palliative metal stents placement in patients with esophageal neoplasm.

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Characteristics of Esophagorespiratory Fistulas Resulting from Esophageal Cancers: A Single‐Center Study on 243 Cases in a 20‐Year Period

Abstract: These tumors seem to be specific forms of esophageal cancers. For a better quality of life and longer survival time for these patients, there should be earlier diagnosis and endoscopic intubation as the best palliative treatment should be performed.

Cited by 32 publications

References 43 publications

Gastro-bronchial fistula closed by endoscopic fistula plug (with video)

Gastro-bronchial fistula closed by endoscopic fistula plug (with video)

Gastrointestinal stenting: Current status and imaging features

Palliation of Neoplastic Esophageal Strictures with Metallic Stents

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