Abstract
A54-year-old man with achalasia and esophageal cancer invading tothe trachea and aorta underwent chemotherapy and radiotherapy. When radiotherapy started, an expandable metalolic stent (EMS) was inserted intothe trachea becauseof dyspnea and progressiQnof trachealstenosis. The tumor size was reduced after radiotherapy, however, esophagotracheal fistulaoccurred. He was treated by insertion of three covered EMS into the esophagus(doublestenting). The esophagotracheal fistula re-opened due toenlargementof the fistulaone monthlater. Therefore, additional covered EMS was implanted intothe trachea. The patient died of pyopneumothorax 139 days after tracheal stenting and 86 days after double-stenting .Doublestenting therapy is an effective method to improve the qualityof life in patients with esophagotracheal fistula caused by esophageal cancer.
