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KMID : 0931320140140030199
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대한상부위장관.헬리코박터학회지
2014 Volume.14 No. 3 p.199 ~ p.202
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Treatment of Proximal Esophagobronchial Fistula with an Anti-migration Esophageal Stent
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Yoon So-Yoon
Shim Ki-Nam
Na Sun-Kyung
Ryu Jae-In
Yun Hye-Won
Kim Seong-Eun
Jung Hye-Kyung
Jung Sung-Ae
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Abstract
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An esophagobronchial fistula is a life threatening complication of esophageal carcinoma. Although placement of esophageal stents is the preferred treatment for esophagobronchical fistula, experience of stenting at the proximal esophagus is limited due to techni-cal difficulties, patients’ discomfort and high risk of complications. We report here a patient with an esophagobronchial fistula at the proximal esophagus who was successfully treated by insertion of a self expandable metal stent and earlobe fixation by a con-nective tube for preventing stent migration. A 46-year-old man had an inoperable esophageal carcinoma and lung abscess due to esophagobronchial fistula. Our first placement of stent at the proximal esophagus failed because of foreign-body sensations and stent migration to the proximal region. For the second time, treatment adding an earlobe fixation tool for anti-migration to the esophageal stent was successful with no serious procedure-related complications. The stent completely sealed off the fistula in the patient without further aspiration and serious discomfort symptoms. Lung abscess and pneumonia gradually improved. Anti-migra-tion esophageal stents can be effective in preventing stent migration for the treatment of proximal esophagobronchial fistula due to malignancy.
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KEYWORD
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Esophageal fistula, Stents
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