ArticleSurgical endoscopy2017
Individualized airway-covered stent implantation therapy for thoracogastric airway fistula after esophagectomy.
Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- 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
- A review of management of benign post-esophagectomy respiratory-digestive fistula in esophageal cancer in China.Esophagus : official journal of the Japan Esophageal Society · 2026Review
- A novel method for precise implantation of tracheal Y-shaped stent.Frontiers in medicine · 2024Article
- Duodenal diversion surgery in management of intractable tracheobroncho-gastric fistula after esophagectomy.General thoracic and cardiovascular surgery cases · 2023Article
- Covered SEMS failed to cure airway fistula closed by an amplatzer device.BMC pulmonary medicine · 2023Article
- The strategy of removing tracheal stents by using an interventional technique under fluoroscopy.BMC pulmonary medicine · 2022Article
- The clinical characteristics, treatments and prognosis of post-esophagectomy airway fistula: a multicenter cohort study.Translational lung cancer research · 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
- External fixation of airway stents for upper tracheal stenosis and tracheoesophageal fistula.Interactive cardiovascular and thoracic 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
- Long-term outcomes of tracheal stents removal under fluoroscopy guidance: comparison of tracheal fistulas and tracheal stenosis.BMC pulmonary medicine · 2021Article
- Use of esophageal stent for the treatment of postoperative gastrointestinal-airway fistula after esophagectomy.Esophagus : official journal of the Japan Esophageal Society · 2019Article
- A novel treatment for bronchopleural fistula after pulmonary resection by interventional technique.Journal of thoracic disease · 2019Article
- Metallic small y stent placement at primary right carina for bronchial disease.BMC pulmonary medicine · 2018Article
- Single application of airway stents in thoracogastric-airway fistula: results and prognostic factors for its healing.Therapeutic advances in respiratory diseaseArticle
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThoracogastric airway fistula (TGAF) is a rare and dangerous complication of esophagectomy performed for esophageal and cardiac carcinomas. Herein, we aimed to explore the feasibility and efficacy of individualized airway stent implantation for the treatment of TGAF after esophagectomy.
methodsBased on different TGAF types and relevant data on chest computed tomography, customized airway-covered stents were positioned so as to cover the entrance to the fistula by an interventional radiologist using fluoroscopic guidance.
resultsOf the 63 patients with TGAF, 12 had thoracogastric-tracheal fistulas, 14 had thoracogastric-carinal fistulas, 21 had thoracogastric-left main bronchial fistulas, 15 had thoracogastric-right main bronchial fistulas, and 1 had a thoracogastric-right intermediate bronchial fistula. The following different stent types were placed: 7 straight self-expandable covered metallic stents, 2 hinged self-expandable covered metallic stents, 41 Y-shaped self-expandable covered metallic stents, and 13 large Y and small Y paired self-expandable covered metallic stents. In all 59 cases (93.65 %), the implantation was successful at the first attempt, with the procedure times ranging from 5 to 10 min. Esophagograms with water-soluble iodinated contrast showed that the fistulae were completely covered with no contrast flowing into the airways and lungs, and with the stents fully expanded. We recorded four cases (6.35 %) of incomplete or recurrent fistula closure.
conclusionCustomized airway-covered stents may be an appropriate palliative therapy for patients with thoracogastric airway fistula who are unfit for surgery or have a high postoperative risk.
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