Öz
We report a 59-year-old woman who presented with recurrent episodes of coughing and choking while eating. She had a history of metastatic tumor in the mediastinal lymph nodes treated with radiation and chemotherapy. She had also undergone placement of an esophageal stent. Videofluorography demonstrated esophagorespiratory fistula be-tween the trachea and esophagus. The prevalence of this complication increases with prolonged survival of patients with malignancy in the mediastinal region. Such fistulae should be diagnosed as early as possible, because insertion of a covered stent usually improves the quality of life for these patients.
Anahtar Kelimeler
Esophagorespiratory fistula videofluorography malignancy esophageal stent.
Kaynakça
- Reed MF, Mathisen DJ. Tracheoesophageal fistula. Chest Surg Clin N Am 2003;13(2):271-89.
- Fukuhara N, Miyazawa T, Yamashita Y, et al. Clinical experi- ences of stenting in patients with esophago-brochial fistula: report of four cases. Int Med 2000;39(12):1088-93.
- Keller R, Flieger D, Fischbach W, Christl SU. Self-expand- ing metal stents for malignant esophagogastric obstruction: experience with a new design covered nitinol stent. J Gas- trointestin Liver Dis 2007;16(3):239-43.
- Homann N, Noftz MR, Klingenberg-Noftz RD, Ludwig D. Delayed complications after placement of self-expanding stents in malignant esophageal obstruction: treatment strat- egies and survival rate. Dig Dis Sci 2008;53(2): 334-40.
- Turkyilmaz A, Eroglu A, Aydin Y, Kurt A, Bilen Y, Karao- glanoglu N. Complications of metallic stent placement in malignant esophageal stricture and their management. Surg Laparosc Endosc Percutan Tech 2010;20(1):10-5.
- Ishibashi A, Fujishima I, Takahashi H, et al. Two cases of tra- cheoesophageal fistula diagnosed with videofluorography. Jpn J Rehabil Med 2009;46(suppl):S163 (in Japanese).
- Kawakami M, Matsumoto M, Liu M, et al. Three cases of esophago-bronchial fistula discovered on videofluorogra- phy. J Clin Rehabil 2009;18(12):1141-3 (in Japanese).
- Tamura F, Mizukami M, Ayano R, Mukai Y. Analysis of feed- ing function and jaw stability in bedridden elderly. Dyspha- gia 2002;17(3):235-41.
- Tohara H, Saitoh E, Mays K, Kuhlemeier K, Palmer B. Three tests for predicting aspiration without videofluorography. Dysphagia 2003;18(2):126-34.
- Kovesi T, Rubin S. Long-term complications of congenital esophageal atresia and/or tracheoesophageal fistula. Chest 2004;126(3):915-25.
Öz
Bu olgu bildirisinde, yemek sırasında tekrarlayan öksürme ve boğulma nöbetleri olan 59 yaşında bir kadın hasta su-nulmuştur. Geçmişinde, mediastinal lenf bezlerinde metastatik tümör bulunması nedeniyle radyasyon ve kemoterapi tedavisi uygulanmış olup, ayrıca özofajiyal stent takılmıştır. Videofluorografide trake ve özofagus arasında özofago-respiratuar fistül olduğu görülmüştür. Bu komplikasyonun prevalansı, mediastinal bölgede malignitesi olan hastaların hayatta kalma sürelerinin uzaması ile artar. Kaplı stent takılması, bu hastaların yaşam kalitesini genelde artırdığın-dan, bu tür fistüller mümkün olduğunca erken teşhis edilmelidir.
Anahtar Kelimeler
Özofagorespiratuar fistül videofluorografi malignite özofajiyal stent.
Kaynakça
- Reed MF, Mathisen DJ. Tracheoesophageal fistula. Chest Surg Clin N Am 2003;13(2):271-89.
- Fukuhara N, Miyazawa T, Yamashita Y, et al. Clinical experi- ences of stenting in patients with esophago-brochial fistula: report of four cases. Int Med 2000;39(12):1088-93.
- Keller R, Flieger D, Fischbach W, Christl SU. Self-expand- ing metal stents for malignant esophagogastric obstruction: experience with a new design covered nitinol stent. J Gas- trointestin Liver Dis 2007;16(3):239-43.
- Homann N, Noftz MR, Klingenberg-Noftz RD, Ludwig D. Delayed complications after placement of self-expanding stents in malignant esophageal obstruction: treatment strat- egies and survival rate. Dig Dis Sci 2008;53(2): 334-40.
- Turkyilmaz A, Eroglu A, Aydin Y, Kurt A, Bilen Y, Karao- glanoglu N. Complications of metallic stent placement in malignant esophageal stricture and their management. Surg Laparosc Endosc Percutan Tech 2010;20(1):10-5.
- Ishibashi A, Fujishima I, Takahashi H, et al. Two cases of tra- cheoesophageal fistula diagnosed with videofluorography. Jpn J Rehabil Med 2009;46(suppl):S163 (in Japanese).
- Kawakami M, Matsumoto M, Liu M, et al. Three cases of esophago-bronchial fistula discovered on videofluorogra- phy. J Clin Rehabil 2009;18(12):1141-3 (in Japanese).
- Tamura F, Mizukami M, Ayano R, Mukai Y. Analysis of feed- ing function and jaw stability in bedridden elderly. Dyspha- gia 2002;17(3):235-41.
- Tohara H, Saitoh E, Mays K, Kuhlemeier K, Palmer B. Three tests for predicting aspiration without videofluorography. Dysphagia 2003;18(2):126-34.
- Kovesi T, Rubin S. Long-term complications of congenital esophageal atresia and/or tracheoesophageal fistula. Chest 2004;126(3):915-25.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mart 2012 |
| Gönderilme Tarihi | 2 Mart 2015 |
| Yayımlandığı Sayı | Yıl 2012 Cilt: 39 Sayı: 1 |