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Successful Re-Construction of Self-Expandable Metal Stent in a Case of Malignant Esophago-tracheal Fistula

在食道癌的病人用食道支撐架成功治療食道氣管廔管的病例報告

摘要


食道癌的病人常常合併有難治療且癒後不好的食道廔管併發症,食道支撐架可用來治療此一併發症。但最近有一個這樣治療的病人卻發生支撐架無法完全開展的問題。我們用Rüsch latex balloon dilator(9 mm tube)來撐開這個支撐架,結果令人滿意,病人可再度吃東西而不受到食道廔管的問題。我們因此將這作法提出報告。

關鍵字

食道廔管 支撐架 食道癌

並列摘要


The advanced stage of esophageal carcinoma is usually complicated with esophageal fistula, which is difficult to manage and has a poor prognosis. The covered self-expandable metallic stents were used to seal fistulas. We recently encountered a case of incomplete expansion of the self-expandable esophageal stent. We re-constructed it using Rüsch latex balloon dilator (9 mm tube) to passively expand the stent. The result was successful with the orifice of the esophageal fistula being sealed again. We here present this case.

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