Rigid bronchoscopy and stenting for esophageal cancer causing airway obstruction

被引:32
作者
Chan, KPW [1 ]
Eng, P [1 ]
Hsu, AAL [1 ]
Huat, GM [1 ]
Chow, M [1 ]
机构
[1] Singapore Gen Hosp, Dept Resp & Crit Care Med, Singapore 169608, Singapore
关键词
airway obstruction; esophageal cancer; mechanical ventilation; rigid bronchoscopy; stent;
D O I
10.1378/chest.122.3.1069
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: Thirty percent of patients with esophageal cancer have malignant involvement of the major airways, leading to respiratory distress and life-threatening major airway obstruction. Tracheobronchial stenting has been reported to be effective in providing sustained relief from obstruction. Methods: We conducted a chart review of all patients with advanced inoperable esophageal cancer who had malignant tracheobronchial obstruction requiring rigid bronchoscopy and airway stenting at our institution between June 1998 and July 2001. Outcome measures, which included survival, efficacy, and complications, were recorded. Results: There were 11 patients (4 women) with a mean age of 61 years. Five patients had distant metastases at the time they underwent rigid bronchoscopy. Four patients who required mechanical ventilation for respiratory failure were successfully weaned off mechanical ventilation after the stenting procedure. All patients with dyspnea had immediate relief of respiratory symptoms, which was sustained for seven patients (64%). The mean duration of survival was 61 days. Two patients required repeat procedures, one for stent dislodgment on extubation and the other for stent migration. Conclusion: Stenting in patients with malignant tracheobronchial obstructions due to advanced esophageal cancer achieves immediate, dramatic, and sustainable relief in respiratory symptoms, conferring a survival benefit in patients whose conditions are otherwise deemed to be terminal.
引用
收藏
页码:1069 / 1072
页数:4
相关论文
共 50 条
  • [41] Adenomatous Multinodular Goiter Causing Airway Obstruction in an Infant
    Sweis, Auddie M.
    Guttikonda, Dharani
    Walner, David L.
    Hamming, Katherine K.
    Lygizos, Nicholas A.
    Geissler, Grant
    LARYNGOSCOPE, 2014, 124 (11) : 2636 - 2639
  • [42] Rigid bronchoscopic intervention for malignant central airway obstruction
    Jeong, Byeong-Ho
    Kim, Hojoong
    PRECISION AND FUTURE MEDICINE, 2023, 7 (03): : 95 - 106
  • [43] Rigid Bronchoscopy in Airway Foreign Bodies: Value of the Clinical and Radiological Signs
    Acharya, Kunjan
    INTERNATIONAL ARCHIVES OF OTORHINOLARYNGOLOGY, 2016, 20 (03) : 196 - 201
  • [44] Gastric heterotopia in the nasopharynx causing airway obstruction in the newborn
    Gabriel, MAM
    López, CM
    Muñhoz, MDD
    Gil, YR
    INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2004, 68 (07) : 961 - 964
  • [45] The role of fiberoptic and rigid bronchoscopy in the diagnosis of malignant central airway pathologies
    Akyuez, Merve Sari
    Ozdemir, Cengiz
    Soekuecue, Sinem Nedime
    Atasever, Furkan
    Onur, Seda Tural
    Satici, Celal
    EURASIAN JOURNAL OF PULMONOLOGY, 2025, 27 (01) : 18 - 26
  • [46] Endoscopic Stenting for Malignant Dysphagia in Patients with Esophageal Cancer
    Ishihara, Ryu
    CURRENT ONCOLOGY, 2023, 30 (07) : 5984 - 5994
  • [47] Airway obstruction in children with congenital heart disease: Assessment by flexible bronchoscopy
    Lee, SL
    Cheung, YF
    Leung, MP
    Ng, YK
    Tsoi, NS
    PEDIATRIC PULMONOLOGY, 2002, 34 (04) : 304 - 311
  • [48] Compound odontoma causing airway obstruction of the newborn: a case report
    Tam, D.
    Francis, L.
    Perry, C.
    Thirwall, A.
    JOURNAL OF LARYNGOLOGY AND OTOLOGY, 2006, 120 (10) : 879 - 881
  • [49] Hairy Polyp of the Supratonsillar Fossa Causing Intermittent Airway Obstruction
    Ismi, Onur
    Gorur, Kemal
    Arpaci, Rabia Bozdogan
    Vayisoglu, Yusuf
    Ozcan, Cengiz
    INTERNATIONAL ARCHIVES OF OTORHINOLARYNGOLOGY, 2015, 19 (01) : 90 - 92
  • [50] An alternative method of management of pediatric airway foreign bodies in the absence of rigid bronchoscopy
    Tamiru, Tewodros
    Gray, Paul E.
    Pollock, Jonathan D.
    INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2013, 77 (04) : 480 - 482