ArticleThe Journal of thoracic and cardiovascular surgery2016
Application of combined-type Y-shaped covered metallic stents for the treatment of gastrotracheal fistulas and gastrobronchial fistulas.
Article in The Journal of thoracic and cardiovascular surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Management of thoracogastric airway fistula after esophagectomy for esophageal cancer: A systematic literature review.The Journal of international medical research · 2020Pooled it
- Late-onset thoracogastric airway fistula after esophagectomy for esophageal cancer: a narrative review.Journal of thoracic disease · 2026Review
- Treatment of Central Airway Stenosis With Self-Expanding Y Stents: Easy and Innovative Technique With a Single Wire Guide.Thoracic cancer · 2026Article
- Y Reverse: Modified technique in challenging airway management.Thoracic cancer · 2024Article
- Tracheoesophageal fistula due to Candida and Actinomyces co-infection: A case report and comprehensive review of the literature.European journal of microbiology & immunology · 2024Article
- Duodenal diversion surgery in management of intractable tracheobroncho-gastric fistula after esophagectomy.General thoracic and cardiovascular surgery cases · 2023Article
- Airway interventions for tracheobronchial involvement in esophageal carcinoma: a retrospective cohort outcome study and algorithmic approach.Journal of thoracic disease · 2022Article
- Stent-in-stent technique for removal of the tracheal stent in patients with severe granulation tissue hyperplasia.Quantitative imaging in medicine and surgery · 2021Article
- Treatment of aerodigestive fistulas with a novel covered metallic Y-shaped segmented airway stent customized with the assistance of 3D printing.Annals of translational medicine · 2021Article
- Customization of stent design for treating malignant airway stenosis with the aid of three-dimensional printing.Quantitative imaging in medicine and surgery · 2021Article
- Placement of self-expanding metallic tracheobronchial Y stent with laryngeal mask airway using conscious sedation under fluoroscopic guidance.Thoracic cancer · 2021Article
- Intermediate bronchial fistula caused by mediastinal drainage tube compression and fungal infection: a case report.Journal of cardiothoracic surgery · 2019Article
- Use of a modified endotracheal tube for self-expandable metallic Y-shaped airway stent deployment without rigid bronchoscope or fluoroscopic guidance.Journal of thoracic disease · 2019Article
- Double stent insertion for combined malignant airway and superior vena cava obstruction.Medicine · 2019Article
- Metallic small y stent placement at primary right carina for bronchial disease.BMC pulmonary medicine · 2018Article
- Clinical assessment of airway stent placement in patients with malignant airway lesions.Journal of thoracic disease · 2018Article
- TEAM: Together Everyone Achieves More.The Journal of thoracic and cardiovascular surgery · 2016Article
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7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the safety and feasibility of combined-type integrated Y-shaped self-expanding covered metallic stents to treat gastrotracheal fistulas (GTFs) and gastrobronchial fistulas (GBFs).
methodsWe retrospectively reviewed the data of 10 patients with postoperative GTFs or GBFs. Depending on the size and location of the fistula and the airway diameter, we custom-designed 2 or 3 stents for each patient. The combined-type stents consisted of a large and a small Y-shaped stent. Under fluoroscopic guidance, the small stent was inserted into the distal part of the involved airway. Then, the large stent was placed at the trachea and carina. The large stent partly overlapped the main body of the small stent.
resultsAll stents were successfully inserted at the first attempt. Esophageal and airway radiography showed no contrast agent leakage, indicating that the fistula was fully sealed. After the procedure, the patients could resume eating without coughing, and their quality of life improved. Each patient was fully followed up. Six patients died at 3.2 to 8 months of tumors (4 patients), hemoptysis (1 patient), or pulmonary infection (1 patient). In 1 patient, the carinal fistula enlarged 4 months after stenting, and another small Y-shaped stent was inserted to seal the fistula. This patient and the remaining 3 patients are still alive.
conclusionsDeployment of the combined-type Y-shaped integrated self-expanding covered metallic stent proved to be an effective, safe, and minimally invasive procedure for complex GTFs and GBFs. Our patients tolerated the stents well and had good palliation of their symptoms.
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