ArticleTherapeutic advances in respiratory disease
Single application of airway stents in thoracogastric-airway fistula: results and prognostic factors for its healing.
Article in Therapeutic advances in respiratory disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Late-onset thoracogastric airway fistula after esophagectomy for esophageal cancer: a narrative review.Journal of thoracic disease · 2026Review
- Individualized Stent for Tracheal Fistula Complicating Tracheostomy Following Esophagectomy.Respirology case reports · 2026Article
- 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
- Congenital aerodigestive fistula with extraordinarily delayed adult presentation: a case report and review of endoscopic closure for bronchoesophageal fistula.Frontiers in medicine · 2026Article
- Surgical repair of benign thoracogastric airway fistula after esophagectomy using a pedicled myocutaneous flap.Journal of thoracic disease · 2024Article
- Surgical cervicothoracic-flap repair of neoesophagus-airway fistula after esophagectomy for esophageal cancer: A retrospective cohort study.JTCVS techniques · 2024Article
- Treatment of Esophago-Airway Fistula after Esophageal Resection.Healthcare (Basel, Switzerland) · 2023Article
- The clinical characteristics, treatments and prognosis of post-esophagectomy airway fistula: a multicenter cohort study.Translational lung cancer research · 2022Article
- 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
- Bronchial arterial embolization may reduce the risk of severe bleeding in central airway obstruction due to renal cell carcinomas during bronchoscopic procedures.Therapeutic advances in respiratory diseaseArticle
- Gastrobronchial fistula after esophageal cancer surgery treated by silicone plug.Annals of thoracic medicineArticle
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Authors and funding
7 authors.
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Abstract
backgroundThoracogastric-airway fistula (TGAF) post-thoracic surgery is a rare and challenging complication for esophagectomy. The aim of this study was to explore the effectiveness of airway stenting for TGAF patients and find related factors coupled with healing of fistula.
methodsThis is a retrospective study involving patients with TGAF who were treated with airway stentings. Based on different TGAF locations and sizes on chest computed tomography, covered metallic or silicon airway stents were implanted to cover orifices under interventional bronchoscopy. TGAF healing was defined as the primary outcome, and complete sealing of TGAF as the second outcome. The predictors for TGAF healing were analyzed in univariate and multivariate analysis.
resultsA total of 58 TGAF patients were included, of whom 7 received straight covered metallic stents, 5 straight silicon stents, 3 L-shaped covered metallic stents, 21 large Y-shaped covered metallic stents, 17 large Y-shaped silicon stents, and 5 with Y-shaped covered metallic stents. Healing was achieved in 20 (34.5%) patients, and complete sealing in 45 (77.6%) patients. There were no significant differences in healing rate and complete sealing rate between patients receiving metallic stents and those with silicon stents. In univariate analysis, lacking a previous history of radiotherapy or chemotherapy, nonmalignant fistulas, small fistulas, and shorter postesophagectomy duration were found associated with a higher rate of TGAF healing. Only shorter postesophagectomy duration was associated with TGAF healing in multivariate analysis.
conclusionsBoth silicon and covered metallic airway stenting are effective methods to close TGAF. A shorter postesophagectomy period may predict better TGAF healing.
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