Fatal complications of endoluminal stent insertion before preoperative chemoradiotherapy for distal esophageal cancer: A case series

Objectives Radiological balloon dilatation of lower oesophageal strictures is common practice. Other than some early reports from our own centre, there is little published regarding radiological dilatation of pharyngeal and upper oesophageal strictures and less still on radiological balloon dilatation of post-total laryngectomy and pharyngolaryngectomy neo-pharyngeal strictures. Standard practise is bouginage under general anaesthaesia. The objective of this study is to assess the efficacy of radiological balloon dilatation for the treatment of dysphagia secondary to neopharyngeal strictures in patients who have undergone laryngectomy. Methods A tertiary care centre case series of 20 consecutive patients (17 males and 3 females aged 40 to 84) with pharyngeal stricture and dysphagia post-total laryngectomy or pharyngolaryngectomy who underwent balloon dilatation of the stricture under radiological guidance. Maintenance of swallowing was the main outcome measure. Results 5 patients gained relief of their dysphagia with 1 balloon dilatation only. 9 patients required more than 1 dilatation to maintain swallowing. 2 patients had balloon dilatation procedures and stent insertion for palliative relief of dysphagia from known recurrent malignant disease. 3 patients failed to maintain swallowing with repeat dilatations. No patients suffered any significant complications such as perforation. Conclusions Balloon dilatation is minimally invasive and less traumatic than rigid pharyngoscopy with bouginage dilatation. It is well tolerated. It may be repeated frequently and can successfully relieve strictures of the pharynx in patients who have undergone total laryngectomy or pharyngolaryngectomy.

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Management of gastric conduit retention following hybrid and minimally invasive esophagectomy for esophageal cancer: Two retrospective case series

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2017.11.040 ◽

2017 ◽

Vol 41 ◽

pp. 505-510 ◽

Cited By ~ 2

Author(s):

Ingvild Farnes ◽

Egil Johnson ◽

Hans-Olaf Johannessen

Keyword(s):

Esophageal Cancer ◽

Minimally Invasive ◽

Minimally Invasive Esophagectomy ◽

Case Series ◽

Gastric Conduit ◽

Retrospective Case ◽

Invasive Esophagectomy ◽

Retrospective Case Series

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Thoracic Endovascular Aortic Repair of Esophageal Cancer-Associated Aortoesophageal Fistula: A Case Report and Literature Review

Case Reports in Oncological Medicine ◽

10.1155/2018/9851397 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5 ◽

Cited By ~ 3

Author(s):

Akiko Sasaki ◽

Hideto Egashira ◽

Shinnosuke Tokoro ◽

Chikamasa Ichita ◽

Satoshi Takizawa ◽

...

Keyword(s):

Esophageal Cancer ◽

Stent Graft ◽

Postoperative Management ◽

Thoracic Endovascular Aortic Repair ◽

Endovascular Aortic Repair ◽

Stent Insertion ◽

Aortoesophageal Fistula ◽

Bridge To Surgery ◽

Aortic Repair ◽

T4 Esophageal Cancer

Background. Thoracic endovascular aortic repair of an aortoesophageal fistula is an effective emergency treatment for patients with T4-esophageal cancer, as it prevents sudden death, and is a bridge to surgery. However, the course of unresectable malignant aortoesophageal fistula treated with thoracic endovascular aortic repair alone is not well-known. Case Presentation. We report a 67-year-old Japanese man with T4-esophageal cancer who experienced a chemoradiation-induced aortoesophageal fistula and was rescued with thoracic endovascular aortic repair. He recovered after the procedure and survived for 4 additional months with management of a mycotic aneurysm and secondary aortoesophageal fistula with the exposure of the stent graft into the esophagus. Thoracic endovascular aortic repair of aortoesophageal fistula with T4-esophageal cancer extended life for nearly an average of 4 months in the reported cases. As a postoperative complication, the exposure of the stent graft into the esophagus is rare but life-threatening; the esophageal stent insertion was effective. Conclusions. With postoperative management advances, thoracic endovascular aortic repair can improve survival and increase the quality of life of patients with T4-esophageal cancer.

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Cerebral arterial air emboli after stent insertion in esophageal cancer complicated with esophago‐left atrial fistula: An autopsy case and review of the literature

Pathology International ◽

10.1111/pin.12849 ◽

2019 ◽

Vol 69 (11) ◽

pp. 662-666 ◽

Cited By ~ 1

Author(s):

Jong Kun Park ◽

Takayoshi Goto ◽

Teruaki Nagano ◽

Michiko Yoshimura ◽

Chikao Yutani

Keyword(s):

Esophageal Cancer ◽

Left Atrial ◽

Stent Insertion ◽

Autopsy Case ◽

Review Of The Literature

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Thoracoscopic esophagectomy in total pharyngolaryngoesophagectomy for esophageal cancer; A case series

Annals of Medicine and Surgery ◽

10.1016/j.amsu.2020.10.006 ◽

2020 ◽

Vol 60 ◽

pp. 9-13

Author(s):

Yasue Kimura ◽

Hiroshi Saeki ◽

Qingjiang Hu ◽

Yuichi Hisamatsu ◽

Mioko Matsuo ◽

...

Keyword(s):

Esophageal Cancer ◽

Case Series ◽

Thoracoscopic Esophagectomy

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Preoperative Chemoradiotherapy for Esophageal Cancer

Journal of Clinical Oncology ◽

10.1200/jco.2001.19.2.283 ◽

2001 ◽

Vol 19 (2) ◽

pp. 283-285 ◽

Cited By ~ 31

Author(s):

David Kelsen

Keyword(s):

Esophageal Cancer ◽

Preoperative Chemoradiotherapy

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Surgical repair for post-tuberculosis tracheobronchial stenosis

Asian Cardiovascular and Thoracic Annals ◽

10.1177/0218492320963972 ◽

2020 ◽

pp. 021849232096397

Author(s):

Vu Huu Vinh ◽

Nguyen Van Khoi ◽

Nguyen Viet Dang Quang ◽

Huynh Quang Khanh

Keyword(s):

Tracheal Stenosis ◽

Treatment Plan ◽

Argon Plasma Coagulation ◽

Case Series ◽

The Other ◽

Segmental Resection ◽

Stent Insertion ◽

Bronchial Stenosis ◽

Tracheobronchial Stenosis ◽

End To End

Aim Post-tuberculosis tracheobronchial stenosis is rare but one of the most dangerous complications of tracheobronchial tuberculosis. Balloon dilatation, stent insertion, laser photoresection, argon plasma coagulation, and cryotherapy are some of the initial treatments recommended for mild to moderate cases. Here, we report a case series of patients who underwent segmental resection and end-to-end anastomosis for bronchial stenosis and a sliding technique for severe and long-segment tracheal stenosis. Methods We retrospectively reviewed the medical records of patients with post-tuberculosis tracheobronchial stenosis operated on in our thoracic surgery department. Of the 7 cases that were treated, two had severe tracheal stenosis stretching over 50% of the tracheal length, one was operated on using resection and end-to-end anastomosis, and the other had sliding tracheoplasty. The other 5 cases of bronchial stem stenosis were treated with segmental resection and end-to-end anastomosis. Results All five patients with bronchial stenosis had a good outcome; the ipsilateral lung was well ventilated and respiratory function was good. One patient with tracheal stenosis, treated with segmental resection and end-to-end anastomosis, died after the surgery, and the other patient, treated with slide tracheoplasty, had a good recovery. Conclusion The treatment plan for patients with post-tuberculosis tracheobronchial stenosis should be on a patient-by-patient basis. Sliding tracheoplasty can be a treatment option in patients with long-segment tracheal stenosis.

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