論文

査読有り
2019年10月

Use of esophageal stent for the treatment of postoperative gastrointestinal-airway fistula after esophagectomy.

Esophagus : official journal of the Japan Esophageal Society
  • Koichi Okamoto
  • Itasu Ninomiya
  • Yuta Fujiwara
  • Ichitaro Mochizuki
  • Tatsuya Aoki
  • Takahisa Yamaguchi
  • Shiro Terai
  • Shinichi Nakanuma
  • Jun Kinoshita
  • Isamu Makino
  • Keishi Nakamura
  • Tomoharu Miyashita
  • Hidehiro Tajima
  • Hiroyuki Takamura
  • Sachio Fushida
  • Tetsuo Ohta
  • 全て表示

16
4
開始ページ
413
終了ページ
417
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s10388-019-00673-0

A gastrointestinal-airway fistula (GAF) after esophagectomy is a very serious postoperative complication that can cause severe respiratory complications due to digestive juice inflow. Generally, GAF is managed by invasive surgical treatment; less-invasive treatment has yet to be established. We performed esophageal stent placement (ESP) in three cases of GAF after esophagectomy. We assessed the usefulness of ESP through our clinical experience. All GAFs were successfully managed by ESP procedures. After the procedure, the stent positioning and expansion were appropriately evaluated by radiological assessments over time. The stent was removed after endoscopic confirmation of fistula closure on days 8, 23, and 71. Only one patient with a long-term indwelling stent developed a manageable secondary gastrobronchial fistula as a procedure-related complication. In conclusion, ESP was shown to be a less-invasive and effective therapeutic modality for the treatment of GAF.

リンク情報
DOI
https://doi.org/10.1007/s10388-019-00673-0
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31062120
ID情報
  • DOI : 10.1007/s10388-019-00673-0
  • PubMed ID : 31062120

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