Laparotomy enables retrograde dilatation and stent placement for malignant esophago-respiratory fistula
<p>Abstract</p> <p>Background</p> <p>Malignant esophageal stenosis with complete obstruction and esophagorespiratory fistula (ERF) is difficult to treat with standard endoscopic techniques.</p> <p>Case presentation</p> <p>We report a patient in w...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2008-01-01
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| Series: | World Journal of Surgical Oncology |
| Online Access: | http://www.wjso.com/content/6/1/8 |
| _version_ | 1811298522514849792 |
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| author | Iskender Özcan Kröpil Patrick Renter Marc A Schmitt Marcus Cupisti Kenko Rehders Alexander Knoefel Wolfram T |
| author_facet | Iskender Özcan Kröpil Patrick Renter Marc A Schmitt Marcus Cupisti Kenko Rehders Alexander Knoefel Wolfram T |
| author_sort | Iskender Özcan |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Malignant esophageal stenosis with complete obstruction and esophagorespiratory fistula (ERF) is difficult to treat with standard endoscopic techniques.</p> <p>Case presentation</p> <p>We report a patient in whom with local recurrence of esophageal carcinoma an esophagotracheal fistula occurred. Initially the patient had undergone esophageal resection with interposition of a gastric tube. Due to complete obstruction of the lumen by recurrent tumor conventional transoral stent placement failed. For retrograde dilatation a laparotomy was performed. Via a duodenal incision endoscopic access to the gastric tube was achieved. Using a guidewire the esophageal obstruction was traversed and dilated. Then it was possible to place an esophageal stent via an antegrade approach.</p> <p>Conclusion</p> <p>Open surgery enables a safe access for retrograde endoscopic therapy in patients who had undergone esophageal resection with gastric interposition.</p> |
| first_indexed | 2024-04-13T06:20:35Z |
| format | Article |
| id | doaj.art-0c92af791a754d4bb77f03ffeb00a36b |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-04-13T06:20:35Z |
| publishDate | 2008-01-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-0c92af791a754d4bb77f03ffeb00a36b2022-12-22T02:58:38ZengBMCWorld Journal of Surgical Oncology1477-78192008-01-0161810.1186/1477-7819-6-8Laparotomy enables retrograde dilatation and stent placement for malignant esophago-respiratory fistulaIskender ÖzcanKröpil PatrickRenter Marc ASchmitt MarcusCupisti KenkoRehders AlexanderKnoefel Wolfram T<p>Abstract</p> <p>Background</p> <p>Malignant esophageal stenosis with complete obstruction and esophagorespiratory fistula (ERF) is difficult to treat with standard endoscopic techniques.</p> <p>Case presentation</p> <p>We report a patient in whom with local recurrence of esophageal carcinoma an esophagotracheal fistula occurred. Initially the patient had undergone esophageal resection with interposition of a gastric tube. Due to complete obstruction of the lumen by recurrent tumor conventional transoral stent placement failed. For retrograde dilatation a laparotomy was performed. Via a duodenal incision endoscopic access to the gastric tube was achieved. Using a guidewire the esophageal obstruction was traversed and dilated. Then it was possible to place an esophageal stent via an antegrade approach.</p> <p>Conclusion</p> <p>Open surgery enables a safe access for retrograde endoscopic therapy in patients who had undergone esophageal resection with gastric interposition.</p>http://www.wjso.com/content/6/1/8 |
| spellingShingle | Iskender Özcan Kröpil Patrick Renter Marc A Schmitt Marcus Cupisti Kenko Rehders Alexander Knoefel Wolfram T Laparotomy enables retrograde dilatation and stent placement for malignant esophago-respiratory fistula World Journal of Surgical Oncology |
| title | Laparotomy enables retrograde dilatation and stent placement for malignant esophago-respiratory fistula |
| title_full | Laparotomy enables retrograde dilatation and stent placement for malignant esophago-respiratory fistula |
| title_fullStr | Laparotomy enables retrograde dilatation and stent placement for malignant esophago-respiratory fistula |
| title_full_unstemmed | Laparotomy enables retrograde dilatation and stent placement for malignant esophago-respiratory fistula |
| title_short | Laparotomy enables retrograde dilatation and stent placement for malignant esophago-respiratory fistula |
| title_sort | laparotomy enables retrograde dilatation and stent placement for malignant esophago respiratory fistula |
| url | http://www.wjso.com/content/6/1/8 |
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