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Open Access 01-12-2008 | Case report

Laparotomy enables retrograde dilatation and stent placement for malignant esophago-respiratory fistula

Authors: Alexander Rehders, Kenko Cupisti, Marcus Schmitt, Marc A Renter, Patrick Kröpil, Özcan Iskender, Wolfram T Knoefel

Published in: World Journal of Surgical Oncology | Issue 1/2008

Abstract

Background

Malignant esophageal stenosis with complete obstruction and esophagorespiratory fistula (ERF) is difficult to treat with standard endoscopic techniques.

Case presentation

We report a patient in whom with local recurrence of esophageal carcinoma an esophagotracheal fistula occurred. Initially the patient had undergone esophageal resection with interposition of a gastric tube. Due to complete obstruction of the lumen by recurrent tumor conventional transoral stent placement failed. For retrograde dilatation a laparotomy was performed. Via a duodenal incision endoscopic access to the gastric tube was achieved. Using a guidewire the esophageal obstruction was traversed and dilated. Then it was possible to place an esophageal stent via an antegrade approach.

Conclusion

Open surgery enables a safe access for retrograde endoscopic therapy in patients who had undergone esophageal resection with gastric interposition.

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Title: Laparotomy enables retrograde dilatation and stent placement for malignant esophago-respiratory fistula
Authors: Alexander Rehders
Kenko Cupisti
Marcus Schmitt
Marc A Renter
Patrick Kröpil
Özcan Iskender
Wolfram T Knoefel
Publication date: 01-12-2008
Publisher: BioMed Central
Published in: World Journal of Surgical Oncology / Issue 1/2008
Electronic ISSN: 1477-7819
DOI: https://doi.org/10.1186/1477-7819-6-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparotomy enables retrograde dilatation and stent placement for malignant esophago-respiratory fistula

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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