C. Witt et al., MULTIPLE FISTULAS AND TRACHEOBRONCHIAL STENOSES REQUIRE EXTENSIVE STENTING OF THE CENTRAL AIRWAYS AND ESOPHAGUS IN SQUAMOUS-CELL CARCINOMA, Endoscopy, 28(4), 1996, pp. 381-385
We report here on two cases of double airway and esophageal stenting i
n patients with multiple esophagotracheal fistulas and stenoses of the
airways and esophagus due to squamous-cell carcinoma. Dumon stents an
d a Strecker device were used for tracheobronchial stenting. Covered G
ianturco Z-stents were implanted into the esophagus. In one case, extr
insic compression of the trachea and tumor progression required recana
lization by Nd:YAG laser. Clinical improvement led to discharge of the
patients within two weeks after the procedure. The results show that
simultaneous implantation of stents in the central airways and covered
Gianturco Z-stents in the esophagus is an effective therapeutic strat
egy in patients with tracheal and esophageal obstructions and esophago
respiratory fistulas. Further systematic studies evaluating double ste
nting are warranted.