ACASE OF ESOPHAGEAL CANCER WITH ESOPHAGOTRACHEAL FISTULA SUCCESSFULLLY TREATEDWITH A SILICONE-COVERED EXPANDABLE METALLIC STENT

Abstract

A 76-year-old man was admitted to our hospital because of severe cough afterradiation therapy and laser therapy for a esophageal cancer at upper part of intrathoracicesophagus. Endoscopy showed an ulceration without stenosis at this site (Figure 3) andexcretion of sputa from a small hole in this ulceration. An esophagotracheal fistula wasdiagnosed by roentgenogram with Gastrografin (Figure 4) . A silicone-covered expandablemetallic stent, 2cm in diameter and 10 cm in length, was easily left in situ of ulceration (Figure 7-a, 7-b) . Cough disapPeared soon after implantation and he was able to eat halfliquid diet. Subsequently, QOL was markedly improved. It was thought that this stent was useful for inoperable patients with esophagotracheal fistulas.