Tracheoesophageal fistula (TEF) is a dreaded complication of esophageal cancer or cancer metastatic to the mediastinum. The recently introduced self- expanding metal stents (SEMS) are a safe and effective palliative option for patients with a malignant TEF, permitting them to be discharged from the hospital and to resume an oral diet. The endoscopic technique of inserting SEMS involves placing a guidewire into the esophagus, adjacent to the tumor. The stent, compressed within its delivery device, is advanced over the guidewire to a premarked position, released, and allowed to expand. SEMS can be placed successfully in more than 95% of eligible patients and can effectively close a TEF in approximately 90%.
|Original language||English (US)|
|Number of pages||10|
|Journal||Journal of Critical Illness|
|State||Published - Jan 1 1998|
ASJC Scopus subject areas
- Critical Care and Intensive Care Medicine