TREATMENT OF AN ESOPHAGORESPIRATORY FISTULA BY INSERTION OF AN ESOPHAGEAL MONTGOMERY AND TRACHEAL DYNAMIC STENT AFTER FAILURE OF CONVENTIONAL ENDOPROSTHESIS

Esophagorespiratory fistulae at the adult age can develop through mali gnant tumor growth, endoscopy, bougienage, laser therapy, or through a radiochemotherapy. We report a female patient with inoperable bronchi al cancer, who developed a symptomatic esophagorespiratory fistula dur ing radiochemotherapy with cisplatin. At first, conventional plastic t ubes and then novel self-expanding silicone-coated Gianturco-Song sten ts were used in an unsuccessful attempt to close the fistula. After th e extraction of two Gianturco-Song stents, the insertion of a Montgome ry-Salivary bypass stent in the esophagus and a dynamic stent in the t rachea resulted in a permanent occlusion of the fistula, This case dem onstrates that Montgomery-Salivary bypass stents do not tend to migrat e due to their characteristic shape and self-fixation, and that the no vel self-expanding, silicone coated Gianturco-Song stents can be extra cted with rigid endoscopy if necessary.