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Successful Airway Stenting Using Silicone Prosthesis for Esophagobronchial Fistula*

Keisuke Miwa, MD; Masahiro Mitsuoka, MD, FCCP; Kohsuke Tayama, MD; Naofumi Tomita, MD; Shinzo Takamori, MD, FCCP; Akihiro Hayashi, MD; Kazuo Shirouzu, MD
Author and Funding Information

*From the Department of Surgery (Drs. Miwa, Mitsuoka, Takamori, Hayashi, and Shirouzu), Kurume University School of Medicine, Fukuoka, Japan; and the Departments of Surgery (Dr. Tayama) and Radiology (Dr. Tomita), Sasebo Kyosai Hospital, Sasebo, Japan.

Correspondence to: Keisuke Miwa, MD, Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka 830-0011, Japan; e-mail: keisuke@med.kurume-u.ac.jp



Chest. 2002;122(4):1485-1487. doi:10.1378/chest.122.4.1485
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We present the case of a 55-year-old man with advanced esophageal cancer who was successfully treated using a self-expandable metallic stent (S-EMS) for 6 months and subsequently was treated for an esophagobronchial fistula as a complication of the initial S-EMS using a silicone airway stent for an additional 4 months. This is the first report in the literature concerning penetration into the airway of an S-EMS implanted in the esophagus. The present case suggests that airway stenting using a silicone stent as treatment for an esophagobronchial fistula may represent a useful modality.

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