Double stents insertion for esophago-trachea fistula due to esophageal carcinoma, -A case report of long survival-

Abstract

A 68 years old male was admitted for esophageal carcinoma with tracheal invasion. After 2 course of chemotherapy, esophago-tracheal fistula was defined.
He was received a double stents implantation for trachea (Tracheal Ultraflex coverd 18mm, 4cm) and esophagus (Esophageal Ultraflex covered 17mm, 10cm) . After implantation he could ingest a diet and discharge at home. Although 5 courses of chemotherapy were performed, were evaluated as NC (no change) . After 339 days, he was died of esophageal carcinoma. Due to the development of esophageal stent, long survival cases were reported in literature. But, for esophageal carcinoma with esophago-tracheal fistula, the reports of long survival were rare. Mean survivals of those ranged from 11 to 119 days by the literature. We experienced a long survivals case and conclude that a double stents for esophago-tracheal fistula can be effective therapy for a quality of life.