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  • Title: Stenting for cervical tracheo-esophageal malignant fistula: a case report.
    Author: Dimofte G, Crumpei F, Grigoraş M, Isloi A, Grigoraş I.
    Journal: Rom J Gastroenterol; 2002 Jun; 11(2):153-8. PubMed ID: 12145673.
    Abstract:
    Esophago-respiratory neoplastic fistulas present serious problems of management, mostly because of the severe status of the patient. The authors present the case of a 49-year-old patient with a malignant eso-tracheal fistula manifesting as mild dysphagia and dyspnoea. An endoscopic palliative treatment of the fistula was performed introducing a metallic coated stent into the esophagus. The multiple stent displacement required a definitive, very high positioning of the stent in the lower pharynx, with significant discomfort. Severe respiratory conditions regressed and the patient survived 6 months after the initial placement. The authors suggest endoscopic palliation with esophageal prosthesis as the therapeutic choice in those cases not amenable to surgery.
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