Tracheoesophageal fistulas (TEFs) often occur with esophageal or bronchial
carcinoma. Currently, we rely on implantation of delicate devices, such as
self-expanding and silicone stents, in the esophagus or trachea to cover the
fistula and expand the stenosis in order to relieve patient pain. However,
because each case is different, our approach may not be effective for every
patient. Consequently, new devices and technology have emerged to address these
situations, such as degradable stents, Amplatzer® devices,
endobronchial one-way umbrella-shaped valves, and transplantation of mesenchymal
stem cells. Although some studies have shown such alternatives can be reasonable
solutions in special cases, further development of other new and effectual
techniques is of utmost importance.
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