Silicone tracheobronchial stent: A rare cause for bronchoesophageal fistula and distortion of airway anatomy

Kumar, Bhupesh; Munirathinam, Ganesh Kumar; Puri, Goverdhan Dutt; Mishra, Anand Kumar; Arya, Virendra K.

doi:10.4103/aca.aca_12_17

Cited by 3 publications

(5 citation statements)

References 13 publications

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“…There has been another report of BEF formed due to esophageal stent placement. In one case report by Kumar et al [ 5 ], they had a patient who developed a BEF after having a silicone tracheobronchial Y-stent placed for tracheal stenosis. The fistula was likely formed from a misplaced stent.…”

Section: Discussionmentioning

confidence: 99%

The Unexpected Formation of a Broncho-Esophageal Fistula of the Right Main Stem Bronchus Status Post Esophageal Stent Placement: A Case Report

Patel¹,

Singh²,

Mobin³

2022

Cureus

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This case presents a patient with a history of non-small cell lung carcinoma who had radiation therapy complicated by esophageal dysphagia. She had a fully covered self-expanding metal stent (SEMS) placed one year ago in the proximal region of her esophagus prior to this admission. She presented to the emergency department (ED) for dyspnea on exertion. Imaging showed a persistent right lower lobe opacity, and bronchoscopy revealed a right broncho-esophageal fistula (BEF). Further investigation by endoscopy found that the fully covered SEMS migrated distally and caused the formation of her fistula. This case presents a patient with a right BEF caused by a migrating esophageal stent.

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Section: Discussionmentioning

confidence: 99%

The Unexpected Formation of a Broncho-Esophageal Fistula of the Right Main Stem Bronchus Status Post Esophageal Stent Placement: A Case Report

Patel¹,

Singh²,

Mobin³

2022

Cureus

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“…Traumatic tracheobronchial lesions are rare, occurring in 1–3% of patients with closed trauma and in 2–9% of those with penetrating cervical and/or thoracic injuries 1–4. They usually present with few symptoms at the outset and evolve over time, which makes immediate diagnosis difficult.…”

Section: Introductionmentioning

confidence: 99%

“…They usually present with few symptoms at the outset and evolve over time, which makes immediate diagnosis difficult. They are associated with a high rate of complications leading to high morbidity, although with low mortality 1–4. Though the ideal management of tracheobronchial injury is surgical repair, it may not always be possible.…”

Section: Introductionmentioning

confidence: 99%

“…Though the ideal management of tracheobronchial injury is surgical repair, it may not always be possible. In such circumstances, bronchoscopic interventions can be helpful in achieving tracheobronchial scaffolding by placement of airway stents 3 5 6. A variety of stents—silicone or self-expandable metallic stents—have been used for management of tracheal stenosis, the general rule of thumb being that metal stents are used in malignant lesions and silicone stents in lesions of a benign nature.…”

Section: Introductionmentioning

confidence: 99%

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Management of post-traumatic tracheal stenosis with silicone stent placement

Sivaramakrishnan,

Mishra,

Sindhwani

2023

BMJ Case Rep

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Benign airway stenosis often poses a therapeutic challenge and requires a multidisciplinary approach involving interventional pulmonologists and thoracic surgeons. We report the case of a man who presented with thoracic trauma following a road traffic accident. His chest X-ray showed complete collapse of the right lung, while screening flexible bronchoscopy revealed pooled secretions and asymmetric mid-to-lower tracheal stenosis. After thorough clinicoradiological evaluation and multidisciplinary discussion, we proceeded with therapeutic rigid bronchoscopy and silicone stenting of the tracheal stenotic lesion. Post-procedure, the patient improved clinically and also showed radiological improvement. Subsequently, he underwent stent removal and remains in follow-up. While surgery is a definitive modality for management of benign tracheal stenosis, most patients with advanced disease, pneumonia or with poor general condition are unfit to tolerate general anaesthesia or surgery. In such patients, minimally invasive bronchoscopic techniques that are generally safe to perform have led to substantial improvement in symptoms and long-term quality of life.

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“…Generally, in some very experienced surgery centers, tracheal resection and reconstruction might be considered as the best treatment to completely cure the stenosis and allows to obtain good results [ 4 ]. For example, it is available in tracheal stenosis resulting from prolonged endotracheal intubation or tracheostomy [ 5 ]. Nowadays tracheal stenting is a preferred alternative, which can be used for patients with malignant stenosis and benign stenosis [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Suture fixation of tracheal stents for the treatment of upper trachea stenosis: a retrospective study

Huang

Zhang

2018

J Cardiothorac Surg

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BackgroundStent migration is a common complication in treating trachea stenosis. There is no report concerning suture fixation of tracheal stent. The aim of this study was to investigate whether suture fixation of tracheal stent could avoid stent migration in patients with upper trachea stenosis. The complications were further investigated.MethodsThe patients with upper trachea stenosis who underwent tracheal stent placement for benign/malignant conditions in our hospital between May 2016 and April 2018 were retrospectively reviewed. Clinical data were collected for each patient, including age, gender, co-morbid diseases, site of tracheal obstruction, degree of tracheal obstruction, success of stent placement, impact on patient’s symptoms, complications, etc.ResultsEleven patients (8 males and 3 females; range of age: 17–85, and average age of 63) were enrolled into this study. Six silicone stents and five membrane-covered metal stents were used. The surgery was successfully performed in all the cases. The postoperative recovery was uneventful. All symptoms of the patients were relieved. No complications occurred. The average follow-up for patients was 5 months (range of 1–13 months). During the follow-up, no stent migration was observed according to CT and bronchoscope.ConclusionThe results suggested that suture fixation of stents could avoid stent migration in treating upper trachea stenosis with metal stent or silicone stent. This method seemed to be effective without operation complications.

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Silicone tracheobronchial stent: A rare cause for bronchoesophageal fistula and distortion of airway anatomy

Cited by 3 publications

References 13 publications

The Unexpected Formation of a Broncho-Esophageal Fistula of the Right Main Stem Bronchus Status Post Esophageal Stent Placement: A Case Report

The Unexpected Formation of a Broncho-Esophageal Fistula of the Right Main Stem Bronchus Status Post Esophageal Stent Placement: A Case Report

Management of post-traumatic tracheal stenosis with silicone stent placement

Suture fixation of tracheal stents for the treatment of upper trachea stenosis: a retrospective study

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