TY - JOUR
TI - Tracheoesophageal fistula managed with tracheal stent through flexible bronchoscopy without fluoroscopy
AU - Stratakos, G.
AU - Zisis, C.
AU - Bellenis, I.
AU - Filaditaki, V.
AU - Liapikou, A.
AU - Zakynthinos, S.
AU - Roussos, C.
JO - Monaldi Archives for Chest Disease - Pulmonary Series
PY - 2006
VL - 65
TODO - 4
SP - 225-227
PB - PI-ME Tipografia Editrice S.r.l.
SN - null
TODO - 10.4081/monaldi.2006.554
TODO - adult;  article;  bronchoscopy;  cachexia;  case report;  dysphagia;  esophagoscopy;  esophagus cancer;  follow up;  gastrostomy;  human;  lung auscultation;  lung infection;  male;  mediastinum mass;  pneumonia;  septic shock;  stent;  tracheobronchial toilet;  tracheoesophageal fistula
TODO - Inoperable malignant tracheoesophageal fistula (TEF) is characterised by an extremely poor prognosis. Tracheal or double (tracheal-esophageal) stenting through rigid bronchoscopy has been suggested as a valuable therapeutic option. We report on a patient with a large TEF successfully sealed by deployment of a self-expandable stent through flexible bronchoscopy (FB) without fluoroscopy. Dramatically improved health status permitted him to undergo radiation, attaining further clinical improvement. Four months after stent placement no sequelae were observed. During the fifth month a new fistula developed distally to the stent finally leading to death from septic complication. Palliative management of inoperable malignant TEF by tracheal stent placement through FB without fluoroscopy, is feasible, safe and rewarding leading to important clinical improvement.
ER -