2018 Volume 40 Issue 3 Pages 201-205
Background. Gastric tube-bronchial fistula is rare disease, which results in the inflow of gastric fluid to the airway. Therefore, we need to decrease this inflow using an airway stent. Case. A 57-year-old man underwent esophagectomy for squamous cell carcinoma after irradiation therapy. On follow-up CT, a liver tumor and swelling of the mediastinal lymph nodes were noted, and we diagnosed e recurrence of esophageal cancer. He was treated with chemoradiotherapy. However, he developed pneumonia and we observed his trachea and bronchus by bronchoscopy, and identified a gastric tube-bronchial fistula. We inserted a straight Dumon stent into the left bronchus to cover the fistula and prevent gastric fluid reflux. After the improvement of pneumonia, he was discharged with continuation of intravenous hyperalimentation. Conclusion. The placement of the Dumon stent enabled the discharge of the patient.
