Efficacy of the double inverted Y-shaped airway covered stent therapy thoracostomach-right main bronchus fistula / 实用放射学杂志

Objective To study the efficacy of double inverted Y-shaped airway covered stent for patients with thoracostomach-right main bronchus fistula.Methods Fifteen cases with thoracostomach-right main bronchus fistula were investigated retrospectively.All patients had accepted esophageal resection and thoracostomach esophagus anastomosis,as well as radiation therapy after surgery due to esophageal cancer. All fistulas located close to the opening of right upper lobe bronchus.According to the normal tracheobronchial diameter and length of patients,two inverted Y-shaped airway covered stents were designed individually.Stenting was performed under X-ray,and the situation of fistula and clinical symptoms improvement were investigated.Results The double inverted Y-shaped airway covered stents were implanted and fistulas were closed successfully.All patients could take normal diet,and the supine cough symptoms disappeared, without complications such as airway bleeding and pneumothorax after stenting.Conclusion The stenting of double inverted Y-shaped airway covered stent may be an effective,feasible and safe treatment for thoracostomach-right main bronchus fistula.

Preliminary study on etiologies, treatments and prophylaxis for delayed thoracostomach emptying in post-surgical patients with esophageal or gastric cardiac cancer / 中国综合临床

Objective To investigate etiologies,treatment approaches and prophylaxis for delayed thoracostomach emptying in esophageal or gastric cardiac cancer patients treated with esophagogastrostomy.Methods We performed a retrospective review of the clinical data of 24 patients suffering delayed thoracostomach emptying among 1985 post-surgical patients with esophageal or gastric cardiac cancer from January 2000 to June 2011.Results Eighteen patients in the 24 patients were cured by conservative managements including endoscopic dilatation procedures.The remaining 6 patients were treated with surgery.Conclusion The main etiology of delayed thoracostomach emptying is gastroparesis,which can be treated with nonsurgical conservative approaches; whereas mechanical emptying disturbance requires surgery.Endoscopic examination appears to be the most important diagnostic approach in identifying and differentiating the etiologies of delayed thoracostomach emptying in post-surgical patients.Endoscopic dilatation procedure is proved to be effective for the treatment of delayed thoracostomach emptying in post-surgical patients in this study.

The design of trachea-main bronchial covered embranchment stent and the primary clinical application / 介入放射学杂志

Objective To design the trachea main bronchus covered embranchment stent and study the primary treatment for thoracostomach main bronchial fistula and main bronchial stenosis. Methods The stent was designed on the bases of the peculiar anatomic structure and the pathological changes of thoracostomach main bronchial fistula and main bronchial stenosis. Under the fluoroscopic guidance, implantations were carried out in thoracostomach carina fistula 1 case thoracostomach left main bronchial fistula 1, thoracostomach right main bronchial fistula and left main bronchial stenosis 1 case, altogether with 5 stents. Results Stents were placed successfully, not only improving the breathing and living quality but also completing the closure of the ora of the thoracostomach airway fistula with further vanishing of the choke after drinking and eating togather with the inhalation pneumonia. The bronchus became normal in a main bronchial stenosis after the stent was taken out. Conclusions Trachea main bronchial covered embranchment stent could be used to close thoracostomach airway fistula and to treat main bronchial benign/malignant stenosis. The procedure is simple and safe.