A Case of Long-Term Survival with Tracheal and Esophageal Stents for Advanced Esophageal Cancer

Yukinori Koyama, Shugo Ueda, Michiyuki Kanai, Yoshiaki Yuba¹⁾, Ryoko Ito²⁾ and Arimichi Takabayashi

Department of Gastroenterological Surgery and Oncology and Department of Pathology¹⁾, Tazuke Kofukai Medical Research Institute Kitano Hospital
Department of Diagnostic Pathology, Kyoto University Hospital²⁾

We report the case of a 58-year-old man with advanced esophageal cancer successfully treated with a tracheal stent for airway obstruction following chemoradiotherapy. When he presented with an esophago-tracheal fistula, we put a covered esophageal stent in place, but he developed another esophago-tracheal fistula at the oral side of the covered stent 4 months later, so we placed another covered stent into the previous one. After this, the man could eat easily without dysphagia. Fourteen months thereafter, he died of pneumonia. Pathological findings showed no residual tumor. Our report focuses on chemoradiotherapy risk following stent placement and management of complications.

Key words
double stent, esophageal cancer, esophago-tracheal fistula

Reprint requests
Yukinori Koyama Department of Surgery, Kyoto University Graduate School of Medicine
54 Kawara-cho, Shogoin, Sakyo-ku, Kyoto, 606-8507 JAPAN

Accepted
December 16, 2009

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