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Double‐Stenting Therapy for Left Lung Collapse Caused by Compression of Esophageal Carcinoma after Esophageal Stenting
Author(s) -
LEE Wei-Yang,
LIN Jaw-Town,
TSAI Jiunn-Yih,
WANG Teh-Hong
Publication year - 1996
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/den.1996.8.3.216
Subject(s) - medicine , stent , dysphagia , esophageal stent , esophageal cancer , surgery , fistula , radiology , esophageal dilatation , complication , lumen (anatomy) , cancer
We report a rare respiratory complication after esophageal stenting for esophageal cancer. The patient, a 58‐year‐old male, presented with dysphagia and frequent choking of six months' duration. Malignant obstruction due to esophageal cancer complicated by a bronchoesophageal fistula was diagnosed. Total collapse of the left lung occurred on the second day after implantation of a rigid esophageal stent. The esophageal tumor was pushed into the left bronchial lumen resulting in complete obstruction. The left lung re‐expanded after removal of the stent. The bronchial tumor was reduced in size after radiotherapy and, subsequently, a mesh stent was successfully implanted into the obstructed bronchial segment. The original rigid esophageal stent was then re‐inserted and the left lung regained sufficient aeration after the double‐stenting therapy. (Dig Endosc 1996; 8: 216‐219)