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 language | English (US) |
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Pages (from-to) | 759-768 |
Number of pages | 10 |
Journal | Journal of Critical Illness |
Volume | 13 |
Issue number | 12 |
State | Published - 1998 |
ASJC Scopus subject areas
- Critical Care and Intensive Care Medicine