Healing of a Large Bronchoesophageal Fistula Secondary to Hodgkin Lymphoma Managed With a Removable Esophageal Stent

Rigney, Debbie; Hall, Andrew B.; McElveen, Russell; Delva, Pierre E. de

doi:10.1016/j.athoracsur.2013.02.066

Cited by 4 publications

(5 citation statements)

References 7 publications

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“…Treatment focuses on the healing of the fistula and the prolongation of patient survival [ 3 ]. Currently, endoscopic esophageal stenting is the preferred approach followed by an attempt to provide effective chemotherapy, which is challenging in the presence of pulmonary sepsis and malnutrition [ 8 ]. Other options include gastrostomy tube placement and surgical treatment as the last resort [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Other options include gastrostomy tube placement and surgical treatment as the last resort [ 9 ]. Esophageal stenting is less invasive and can result in fistula healing, resolution of pulmonary sepsis, and improved nutritional status [ 8 - 9 ]. In the current case, esophageal stenting was not possible due to severe thrombocytopenia and malnutrition.…”

Section: Discussionmentioning

confidence: 99%

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An Unusual Case of an Acquired Esophageal-pulmonary Fistula Caused by Hodgkin Lymphoma

González

Talasila

Ochoa

et al. 2018

Cureus

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Bronchoesophageal and tracheoesophageal fistulas are an uncommon but well-documented complication of Hodgkin lymphoma (HL). To our knowledge, a fistula directly connecting the esophagus with the lung (esophageal-pulmonary fistula) and resulting from HL has not been reported in the literature. We present a case of HL complicated with an esophageal-pulmonary fistula. The early recognition and treatment of an esophageal-pulmonary fistula in patients with HL are imperative since, with appropriate treatment, HL complicated with an aero-esophageal fistula has the same prognosis as those without one, unlike the dismal prognosis in esophageal and lung cancer. Endoscopic esophageal stenting followed by chemotherapy is the preferred treatment approach. This leads to the healing of the fistula and the prolongation of patient survival.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An Unusual Case of an Acquired Esophageal-pulmonary Fistula Caused by Hodgkin Lymphoma

González

Talasila

Ochoa

et al. 2018

Cureus

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“…The cases for which stent insertion is needed include those withpressure on the respiratory tract caused by malignant diseases, such as lung cancer, esophageal cancer, or thyroid cancer [2, 3];strangulation due to a benign disease as in this example, including smoke inhalation and bronchomalacia [4, 5];bronchoesophageal fistula. …”

Section: Discussionmentioning

confidence: 99%

“…pressure on the respiratory tract caused by malignant diseases, such as lung cancer, esophageal cancer, or thyroid cancer [2, 3];…”

Section: Discussionmentioning

confidence: 99%

Tracheoesophageal Fistula due to a Damaged Tracheal Stent

Kimura

Kuwabara

Ishiguro

et al. 2014

Case Reports in Surgery

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We describe the management of a tracheoesophageal fistula due to a damaged tracheal stent, which was first inserted to treat tracheal stenosis. A 29-year-old woman with a history of treated epilepsy had a seizure and suffered from smoke inhalation during a fire. Breathing difficulties appeared and gradually worsened; consultation was obtained two years afterward. After undergoing a thorough examination, the patient was diagnosed with tracheal strangulation. A noncovered, metallic stent was inserted. When the patient was 37 years old, she was admitted to our hospital for the treatment of a tracheoesophageal fistula. We diagnosed it as a tracheoesophageal fistula due to the collapse of the damaged tracheal stent toward the esophageal side, and we decided to perform a mediastinal tracheostomy. Granulation may be formed in the circumference of a stent that has been present for a prolonged period, and removal of the stent may become difficult. This case suggests that insertion of a noncovered, metallic stent is contraindicated for a benign disease.

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“…Intestinal perforation can occur spontaneously, act as a surgical complication, or arise from the regressive changes after chemotherapy, which may result in chronic GI fistulas occasionally. Primary GI fistulas that communicate with the guts and various adjacent organs have also been documented, including the bronchus, bladder, spleen, and even aorta 345…”

Section: Answer To the Images: Non-hodgkin's Lymphomamentioning

confidence: 99%