Abstract：
BACKGROUND:Patients with malignant esophagorespiratory fistulas have a poor prognosis. Treatment is palliative and involves restoration of the ability to ingest food and prevention of aspiration by insertion of esophageal or tracheobronchial stents. Because insertion of a single stent may be insufficient for palliation, a series of patients who underwent parallel stent insertion were studied. METHODS:Thirteen patients with esophagorespiratory fistulas who required parallel stents were studied retrospectively. Palliation was evaluated by assessing dyspnea, dysphagia, and coughing associated with eating and/or drinking before and after insertion of stents. OBSERVATIONS:Insertion of the first stent (n = 13) resulted in complete relief of symptoms attributed to an esophagorespiratory fistula in 46% and in a reduction in symptoms in 54% of patients. The interval between insertion of the first and second stents ranged from 1 to 182 days (mean 46 days). Insertion of the second stent (n = 12) resulted in complete relief of symptoms in 42% and a reduction in symptoms in 58% of the patients. CONCLUSION:Parallel stent insertion may be indicated in patients with symptoms caused by malignant esophagorespiratory fistula.
journal_name
Gastrointest Endoscjournal_title
Gastrointestinal endoscopyauthors
van den Bongard HJ,Boot H,Baas P,Taal BGdoi
10.1067/mge.2002.119731keywords:
subject
Has Abstractpub_date
2002-01-01 00:00:00pages
110-5issue
1eissn
0016-5107issn
1097-6779pii
S0016-5107(02)99667-7journal_volume
55pub_type
杂志文章abstract：BACKGROUND:Unsedated colonoscopy is not required by the Accreditation Council of Graduate Medical Education in the curriculum of GI trainees. OBJECTIVE:We describe our pilot experience with trainee participation in unsedated colonoscopy. DESIGN:A retrospective review of a performance improvement program to provide ac...
journal_title：Gastrointestinal endoscopy
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journal_title：Gastrointestinal endoscopy
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