带膜金属支架治疗高位食管-气管瘘八例报告

目的 应用带膜金属食管支架解决高位食管－气瘘病人的进食呛咳和梗阻问题。方法 根据食管狭窄的程度、长度，普口部位及狭窄上缘距门齿、食管上端开口处的距离，确定支架长度和支架位置，由内镜直视或结合Ｘ线完成操作。结果 ８例病人均１次放置成功，患者呛咳及吞咽困难症状消失，均在３～５d内能进普食，侧位胸片及内镜双重检查，支架位置准 确，形状为两头呈喇叭样，中间狭窄部直径达１．２～１．５cm。结论 内镜直视配合Ｘ

Treatment of high-position tracheo-esophageal fistula using coated metallic stent (report of 8 cases)

Objective Treating high position tracheo esophageal fistula using coated metallic stent Methods Ascertain the length and position of the stent to be used according to the extent and location of esophageal stenosis Introduce the stent by direct observation of endoscopy or combined with X ray Results Stent placement was successful in all 8 cases, the symptoms of choking and obstruction were relieved and all patients could take normal diet 3 to 5 days after the operation Using lateral chest film and endoscopy, the position of the stent was checked, both ends were flared and the diameter of the middle narrow part was 1 2 to 1 5 cm Conclusion Stenting under endoscopic and fluoroscopic guidance is a non invasive palliative treatment for patients suffering from late stage esophageal cancer complicated by tracheo esophageal fistula