Improving stent efficiency by understanding stent-related adverse events

Maselli, Daniel B.; Storm, Andrew C.; Matar, Reem; Dayyeh, Barham K. Abu

doi:10.1016/j.tige.2020.03.002

Cited by 1 publication

(1 citation statement)

References 61 publications

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“…A recent review on the matter proposed a management algorithm, in which single oesophageal stents are initial management of choice, with the exception of cases where stenting was deemed high risk of critical airway obstruction or for fistulas located at the proximal/mid oesophagus [6]. Oesophageal stent carries known risks of migration, extrinsic airway compression, bleeding, and perforation [7]. Whilst use of single airway stents may have fewer catastrophic complications, the rate of closure of fistula is reported at 71%, and the durability of single metal airway stents has been called into question with a 12% incidence of metal fatigue resulting in stent fracture [8, 9].…”

Section: Discussion/conclusionmentioning

confidence: 99%

Malignant Broncho-Oesophageal Fistula following Radiotherapy for Noninvasive T3 Oesophageal Squamous Cell Carcinoma

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Burmeister

2022

Case Rep Gastroenterol

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Malignant tracheo-oesophageal fistula (TEF) can result from tumour progression and invasion of adjacent organs, or a complication of treatment. In the posttreatment setting, incidence of TEF in cases with preceding airway invasion (T4b) are not infrequently reported; however, for those for whom disease was confined to organ (T1–3) at staging, this is a rare complication. Management for these cases is palliative in nature, with the goal to prevent aspiration by closing the connection and facilitate safe resumption of oral intake where possible. Herein we report a case of a 71-year-old female with a T3 oesophageal squamous cell carcinoma, who presented with new onset dysphagia 2 weeks after completing a course of definitive radiotherapy and was found to have a broncho-oesophageal fistula. This patient was managed with dual stenting of both the airway and oesophagus, an emerging management option for this condition, and was thereafter able to safely resume oral intake.

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