Endoscopic management of malignant tracheoesophageal fistulas

M. B. Wallace, J. Van Dam

Research output: Contribution to journalArticlepeer-review

Abstract

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 languageEnglish (US)
Pages (from-to)759-768
Number of pages10
JournalJournal of Critical Illness
Volume13
Issue number12
StatePublished - Jan 1 1998

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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