Treatment of a ruptured anastomotic esophageal stricture following bougienage with a dacron-covered nitinol stent |
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Authors: | Walter Heindel MD Axel Gossmann Roman Fischbach Olaf Michel Klaus Lackner |
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Institution: | (1) Department of Diagnostic Radiology, University of Cologne, D-50924 Koeln (Lindenthal), Germany, DE;(2) Department of Oto-Rhino-Laryngology, University of Cologne, D-50924 Koeln (Lindenthal), Germany, DE |
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Abstract: | A patient suffering from esophagorespiratory fistula after bougienage of a benign stricture at the site of the anastomosis
between a jejunal interposition and the esophagus was referred for interventional treatment. A prototype nitinol stent centrally
covered with Dacron was implanted under regional anesthesia and fluoroscopic guidance. The self-expanding prosthesis dilated
the stenosis completely and closed the fistula, with consequent improvement in respiratory and nutritional status and thus
the general quality of life. The patient was able to eat and drink normally until death 3 months later due to progression
of his underlying malignant disease. |
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Keywords: | : Fistula esophagobronchial— Esophagus interventional procedure— Stents and endoprostheses |
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