医学
瘘管
食管
支架
食管狭窄
食管癌
放化疗
放射科
内窥镜检查
食管支架
食道疾病
外科
放射治疗
癌症
内科学
作者
Tomoya Ueda,Takashi Kanesaka,Hiroshi Miyata
标识
DOI:10.1016/j.cgh.2023.07.024
摘要
A 65-year-old woman was diagnosed with cervical and upper-thoracic esophageal cancer invading the trachea. She underwent chemoradiotherapy with 5-fluorouracil, cisplatin, and 60-Gy radiation, and after 7 courses of chemotherapy, fever and cough were noted. Computed tomography showed an esophagorespiratory fistula and right lung consolidation (Figure A). Endoscopy showed a malignant esophageal stricture at 19 to 26 cm from the incisors and a fistula at 23 cm (Figure B). HANAROSTENT Esophagus Proximal Release (18 × 100 mm; M.I.Tech Co, Pyeongtaek, South Korea) was applied to close the fistula because its short proximal flare and proximal release system were considered suitable for placement close to the upper esophageal sphincter (Figure C).
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