AI Article Synopsis
- Esophago-respiratory neoplastic fistulas pose significant management challenges due to the patient's condition, as illustrated by a case involving a 49-year-old with a malignant eso-tracheal fistula causing mild swallowing and breathing difficulties.
- The treatment involved placing a metallic coated stent endoscopically in the esophagus, though multiple displacements led to a high positioning of the stent in the lower pharynx, causing discomfort.
- Despite the challenges, the patient's severe respiratory issues improved, and he survived for six months post-treatment, suggesting that endoscopic palliation with esophageal prosthesis is a viable option when surgical intervention isn't possible.
Article Abstract
Esophago-respiratory neoplastic fistulas present serious problems of management, mostly because of the severe status of the patient. The authors present the case of a 49-year-old patient with a malignant eso-tracheal fistula manifesting as mild dysphagia and dyspnoea. An endoscopic palliative treatment of the fistula was performed introducing a metallic coated stent into the esophagus. The multiple stent displacement required a definitive, very high positioning of the stent in the lower pharynx, with significant discomfort. Severe respiratory conditions regressed and the patient survived 6 months after the initial placement. The authors suggest endoscopic palliation with esophageal prosthesis as the therapeutic choice in those cases not amenable to surgery.
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