Fanceng Ji1, Peihe Nie1, Fuxia Yi2, Limin Zhang3. 1. Department of Anesthesiology, Weifang People's Hospital Weifang 261041, China. 2. Department of anesthesiology, Affiliated Hospita of Weifang Medical University Weifang 261031, China. 3. Department of Intensive Care Unit, Weifang People's Hospital Weifang 261041, China.
Abstract
OBJECTIVE: Although the placement of esophageal self-expandable stents (SES) can effectively relieve dysphagia after radiotherapy in patients with esophageal cancer (EC), it may induce severe esophageal complications. This article reports a case of emergency endotracheal intubation in an EC patient who suddenly developed severe dyspnea two months after SES placement. METHODS: Electronic bronchoscopy of the patient's airway confirmed the diagnosis of esophagotracheal fistula, tracheal stenosis and tracheal rupture. Endotracheal intubation was successfully performed under the guidance of electronic bronchoscopy. RESULTS: Dyspnea due to tracheal stenosis was relieved effectively by inserting the tracheal catheter to a proper place under the guidance of electronic bronchoscopy. CONCLUSION: Bronchoscopic examination is strongly recommended in EC patients who are highly suspected as having airway stenosis associated with esophageal stenting, for which endotracheal intubation under the guidance of bronchoscopy is suggested.
OBJECTIVE: Although the placement of esophageal self-expandable stents (SES) can effectively relieve dysphagia after radiotherapy in patients with esophageal cancer (EC), it may induce severe esophageal complications. This article reports a case of emergency endotracheal intubation in an EC patient who suddenly developed severe dyspnea two months after SES placement. METHODS: Electronic bronchoscopy of the patient's airway confirmed the diagnosis of esophagotracheal fistula, tracheal stenosis and tracheal rupture. Endotracheal intubation was successfully performed under the guidance of electronic bronchoscopy. RESULTS:Dyspnea due to tracheal stenosis was relieved effectively by inserting the tracheal catheter to a proper place under the guidance of electronic bronchoscopy. CONCLUSION: Bronchoscopic examination is strongly recommended in EC patients who are highly suspected as having airway stenosis associated with esophageal stenting, for which endotracheal intubation under the guidance of bronchoscopy is suggested.
Authors: K J Kinsman; B T DeGregorio; R M Katon; K Morrison; R R Saxon; F S Keller; J Rosch Journal: Gastrointest Endosc Date: 1996-03 Impact factor: 9.427
Authors: Florian Tomaselli; Alfred Maier; Oliver Sankin; Hans Pinter; Josef Smolle; Freyja Maria Smolle-Jüttner Journal: Hepatogastroenterology Date: 2004 Jul-Aug