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Updated: Aug 17, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
A fast placement technique for covered tracheobronchial stents in patients with complicated esophagorespiratory
Kazushi Kishi1, Taisei Nakao, Hironobu Goto
1Department of Radiology, Wakayama Medical College, Kimiidera 811-1, Wakayama City, 641-0012, Japan. kkishi@wakayama-med.ac.jp
Purpose:
To test an endotracheal placement procedure for malignant esophagorespiratory fistula when endoesophageal placement is inapplicable.
Methods:
We report on patients with malignant esophagorespiratory fistula to which endoesophageal approaches were complicated with a complete obstruction of the hypopharynx, a collapsible tracheobronchus, or a previously placed endoesophageal stents. Gore-Tex membrane-covered Z-stents were deployed in the trachea using a coaxial introducer system in three patients. A Dumon tube was deployed in the bronchus over the bronchofiberscope in one patient.
Results:
All fistula were completely sealed by the endotracheal or endobronchial stenting. Symptomatic and clinical improvements were immediate obtained.
Conclusion:
Endotracheal or endobronchial covered stent placement is thought to be an effective alternative method for sealing esophagorespiratory fistula.
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