Sealing of Airway Fistulas for Metallic Covered Z-type Stents

Background and objective Treating airway fistulas, including esophagorespiratory fistulas (ERFs), bronchopleural fistulas (BPFs), and tracheomediastinal fistulas (TMFs), is difficult. The aim of this study is to evaluate the safety and clinical efficacy of metallic covered Z-type stents (CZTS) for t...
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Autor*in:	Hongwu WANG [verfasserIn] Dongmei LI [verfasserIn] Nan ZHANG [verfasserIn] Hang ZOU [verfasserIn] Lingfei LUO [verfasserIn] Hongming MA [verfasserIn] Yunzhi ZHOU [verfasserIn] Jing LI [verfasserIn] Sujuan LIANG [verfasserIn]

Format:	E-Artikel
Sprache:	Chinesisch

Erschienen:	2011

Schlagwörter:	Lung neoplasms Esophageorespiratory fistula Bronchopleural fistula Stents

Übergeordnetes Werk:	In: Chinese Journal of Lung Cancer - Chinese Anti-Cancer Association; Chinese Antituberculosis Association, 2008, 14(2011), 8, Seite 679-684
Übergeordnetes Werk:	volume:14 ; year:2011 ; number:8 ; pages:679-684

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.3779/j.issn.1009-3419.2011.08.08

Katalog-ID:	DOAJ022368205

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520			\|a Background and objective Treating airway fistulas, including esophagorespiratory fistulas (ERFs), bronchopleural fistulas (BPFs), and tracheomediastinal fistulas (TMFs), is difficult. The aim of this study is to evaluate the safety and clinical efficacy of metallic covered Z-type stents (CZTS) for the treatment of airway fistulas through bronchoscopy or fluroscopy. Methods Thirty-eight patients with fistulas between the esophagus, mediastina, and airways (32 ERFs, 5 BPFs, and 1 TMF) were retrospectively reviewed after treatment with covered metallic esophageal and airway stents. The fistulas were caused by esophageal (n=26), bronchogenic (n=11), and thyroid (n=1) carcinomas. Results Forty-six fistulas were found in 38 patients. The fistula size ranged from 0.5 cm to 7.0 cm. Forty airway covered metal stents (24 Y-type, 8 L-type, and 8 I-type) and 24 esophageal metal stents were placed. Complete responses to the sealing effects of fistulas were noted in 4.3% of all the fistulas, 60.9% showed complete clinical responses, 23.9% showed partial responses, and 10.9% showed no response. An effectivity rate of 89.1% was observed, and the median survival duration of all patients was 5 months. Conclusion The use of CZTS appears to be safe and feasible for the palliative treatment of ERFs, BPFs, and TMFs. Airway stent placement is recommended for patients with ERF. In the event that airway stents fail, esophageal stents should be given. Airway bifurcation stents were observed to be especially suitable for the sealing of fistulas near the trachea carina.
650		4	\|a Lung neoplasms
650		4	\|a Esophageorespiratory fistula
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653		0	\|a Neoplasms. Tumors. Oncology. Including cancer and carcinogens
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allfields	10.3779/j.issn.1009-3419.2011.08.08 doi (DE-627)DOAJ022368205 (DE-599)DOAJ1044aa931983431cb374f82aa0bbb3bc DE-627 ger DE-627 rakwb chi RC254-282 Hongwu WANG verfasserin aut Sealing of Airway Fistulas for Metallic Covered Z-type Stents 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background and objective Treating airway fistulas, including esophagorespiratory fistulas (ERFs), bronchopleural fistulas (BPFs), and tracheomediastinal fistulas (TMFs), is difficult. The aim of this study is to evaluate the safety and clinical efficacy of metallic covered Z-type stents (CZTS) for the treatment of airway fistulas through bronchoscopy or fluroscopy. Methods Thirty-eight patients with fistulas between the esophagus, mediastina, and airways (32 ERFs, 5 BPFs, and 1 TMF) were retrospectively reviewed after treatment with covered metallic esophageal and airway stents. The fistulas were caused by esophageal (n=26), bronchogenic (n=11), and thyroid (n=1) carcinomas. Results Forty-six fistulas were found in 38 patients. The fistula size ranged from 0.5 cm to 7.0 cm. Forty airway covered metal stents (24 Y-type, 8 L-type, and 8 I-type) and 24 esophageal metal stents were placed. Complete responses to the sealing effects of fistulas were noted in 4.3% of all the fistulas, 60.9% showed complete clinical responses, 23.9% showed partial responses, and 10.9% showed no response. An effectivity rate of 89.1% was observed, and the median survival duration of all patients was 5 months. Conclusion The use of CZTS appears to be safe and feasible for the palliative treatment of ERFs, BPFs, and TMFs. Airway stent placement is recommended for patients with ERF. In the event that airway stents fail, esophageal stents should be given. Airway bifurcation stents were observed to be especially suitable for the sealing of fistulas near the trachea carina. Lung neoplasms Esophageorespiratory fistula Bronchopleural fistula Stents Neoplasms. Tumors. Oncology. Including cancer and carcinogens Dongmei LI verfasserin aut Nan ZHANG verfasserin aut Hang ZOU verfasserin aut Lingfei LUO verfasserin aut Hongming MA verfasserin aut Yunzhi ZHOU verfasserin aut Jing LI verfasserin aut Sujuan LIANG verfasserin aut In Chinese Journal of Lung Cancer Chinese Anti-Cancer Association; Chinese Antituberculosis Association, 2008 14(2011), 8, Seite 679-684 (DE-627)572421125 (DE-600)2438672-8 19996187 nnns volume:14 year:2011 number:8 pages:679-684 https://doi.org/10.3779/j.issn.1009-3419.2011.08.08 kostenfrei https://doaj.org/article/1044aa931983431cb374f82aa0bbb3bc kostenfrei http://dx.doi.org/10.3779/j.issn.1009-3419.2011.08.08 kostenfrei https://doaj.org/toc/1009-3419 Journal toc kostenfrei https://doaj.org/toc/1999-6187 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2011 8 679-684
spelling	10.3779/j.issn.1009-3419.2011.08.08 doi (DE-627)DOAJ022368205 (DE-599)DOAJ1044aa931983431cb374f82aa0bbb3bc DE-627 ger DE-627 rakwb chi RC254-282 Hongwu WANG verfasserin aut Sealing of Airway Fistulas for Metallic Covered Z-type Stents 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background and objective Treating airway fistulas, including esophagorespiratory fistulas (ERFs), bronchopleural fistulas (BPFs), and tracheomediastinal fistulas (TMFs), is difficult. The aim of this study is to evaluate the safety and clinical efficacy of metallic covered Z-type stents (CZTS) for the treatment of airway fistulas through bronchoscopy or fluroscopy. Methods Thirty-eight patients with fistulas between the esophagus, mediastina, and airways (32 ERFs, 5 BPFs, and 1 TMF) were retrospectively reviewed after treatment with covered metallic esophageal and airway stents. The fistulas were caused by esophageal (n=26), bronchogenic (n=11), and thyroid (n=1) carcinomas. Results Forty-six fistulas were found in 38 patients. The fistula size ranged from 0.5 cm to 7.0 cm. Forty airway covered metal stents (24 Y-type, 8 L-type, and 8 I-type) and 24 esophageal metal stents were placed. Complete responses to the sealing effects of fistulas were noted in 4.3% of all the fistulas, 60.9% showed complete clinical responses, 23.9% showed partial responses, and 10.9% showed no response. An effectivity rate of 89.1% was observed, and the median survival duration of all patients was 5 months. Conclusion The use of CZTS appears to be safe and feasible for the palliative treatment of ERFs, BPFs, and TMFs. Airway stent placement is recommended for patients with ERF. In the event that airway stents fail, esophageal stents should be given. Airway bifurcation stents were observed to be especially suitable for the sealing of fistulas near the trachea carina. Lung neoplasms Esophageorespiratory fistula Bronchopleural fistula Stents Neoplasms. Tumors. Oncology. Including cancer and carcinogens Dongmei LI verfasserin aut Nan ZHANG verfasserin aut Hang ZOU verfasserin aut Lingfei LUO verfasserin aut Hongming MA verfasserin aut Yunzhi ZHOU verfasserin aut Jing LI verfasserin aut Sujuan LIANG verfasserin aut In Chinese Journal of Lung Cancer Chinese Anti-Cancer Association; Chinese Antituberculosis Association, 2008 14(2011), 8, Seite 679-684 (DE-627)572421125 (DE-600)2438672-8 19996187 nnns volume:14 year:2011 number:8 pages:679-684 https://doi.org/10.3779/j.issn.1009-3419.2011.08.08 kostenfrei https://doaj.org/article/1044aa931983431cb374f82aa0bbb3bc kostenfrei http://dx.doi.org/10.3779/j.issn.1009-3419.2011.08.08 kostenfrei https://doaj.org/toc/1009-3419 Journal toc kostenfrei https://doaj.org/toc/1999-6187 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2011 8 679-684
allfields_unstemmed	10.3779/j.issn.1009-3419.2011.08.08 doi (DE-627)DOAJ022368205 (DE-599)DOAJ1044aa931983431cb374f82aa0bbb3bc DE-627 ger DE-627 rakwb chi RC254-282 Hongwu WANG verfasserin aut Sealing of Airway Fistulas for Metallic Covered Z-type Stents 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background and objective Treating airway fistulas, including esophagorespiratory fistulas (ERFs), bronchopleural fistulas (BPFs), and tracheomediastinal fistulas (TMFs), is difficult. The aim of this study is to evaluate the safety and clinical efficacy of metallic covered Z-type stents (CZTS) for the treatment of airway fistulas through bronchoscopy or fluroscopy. Methods Thirty-eight patients with fistulas between the esophagus, mediastina, and airways (32 ERFs, 5 BPFs, and 1 TMF) were retrospectively reviewed after treatment with covered metallic esophageal and airway stents. The fistulas were caused by esophageal (n=26), bronchogenic (n=11), and thyroid (n=1) carcinomas. Results Forty-six fistulas were found in 38 patients. The fistula size ranged from 0.5 cm to 7.0 cm. Forty airway covered metal stents (24 Y-type, 8 L-type, and 8 I-type) and 24 esophageal metal stents were placed. Complete responses to the sealing effects of fistulas were noted in 4.3% of all the fistulas, 60.9% showed complete clinical responses, 23.9% showed partial responses, and 10.9% showed no response. An effectivity rate of 89.1% was observed, and the median survival duration of all patients was 5 months. Conclusion The use of CZTS appears to be safe and feasible for the palliative treatment of ERFs, BPFs, and TMFs. Airway stent placement is recommended for patients with ERF. In the event that airway stents fail, esophageal stents should be given. Airway bifurcation stents were observed to be especially suitable for the sealing of fistulas near the trachea carina. Lung neoplasms Esophageorespiratory fistula Bronchopleural fistula Stents Neoplasms. Tumors. Oncology. Including cancer and carcinogens Dongmei LI verfasserin aut Nan ZHANG verfasserin aut Hang ZOU verfasserin aut Lingfei LUO verfasserin aut Hongming MA verfasserin aut Yunzhi ZHOU verfasserin aut Jing LI verfasserin aut Sujuan LIANG verfasserin aut In Chinese Journal of Lung Cancer Chinese Anti-Cancer Association; Chinese Antituberculosis Association, 2008 14(2011), 8, Seite 679-684 (DE-627)572421125 (DE-600)2438672-8 19996187 nnns volume:14 year:2011 number:8 pages:679-684 https://doi.org/10.3779/j.issn.1009-3419.2011.08.08 kostenfrei https://doaj.org/article/1044aa931983431cb374f82aa0bbb3bc kostenfrei http://dx.doi.org/10.3779/j.issn.1009-3419.2011.08.08 kostenfrei https://doaj.org/toc/1009-3419 Journal toc kostenfrei https://doaj.org/toc/1999-6187 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2011 8 679-684
allfieldsGer	10.3779/j.issn.1009-3419.2011.08.08 doi (DE-627)DOAJ022368205 (DE-599)DOAJ1044aa931983431cb374f82aa0bbb3bc DE-627 ger DE-627 rakwb chi RC254-282 Hongwu WANG verfasserin aut Sealing of Airway Fistulas for Metallic Covered Z-type Stents 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background and objective Treating airway fistulas, including esophagorespiratory fistulas (ERFs), bronchopleural fistulas (BPFs), and tracheomediastinal fistulas (TMFs), is difficult. The aim of this study is to evaluate the safety and clinical efficacy of metallic covered Z-type stents (CZTS) for the treatment of airway fistulas through bronchoscopy or fluroscopy. Methods Thirty-eight patients with fistulas between the esophagus, mediastina, and airways (32 ERFs, 5 BPFs, and 1 TMF) were retrospectively reviewed after treatment with covered metallic esophageal and airway stents. The fistulas were caused by esophageal (n=26), bronchogenic (n=11), and thyroid (n=1) carcinomas. Results Forty-six fistulas were found in 38 patients. The fistula size ranged from 0.5 cm to 7.0 cm. Forty airway covered metal stents (24 Y-type, 8 L-type, and 8 I-type) and 24 esophageal metal stents were placed. Complete responses to the sealing effects of fistulas were noted in 4.3% of all the fistulas, 60.9% showed complete clinical responses, 23.9% showed partial responses, and 10.9% showed no response. An effectivity rate of 89.1% was observed, and the median survival duration of all patients was 5 months. Conclusion The use of CZTS appears to be safe and feasible for the palliative treatment of ERFs, BPFs, and TMFs. Airway stent placement is recommended for patients with ERF. In the event that airway stents fail, esophageal stents should be given. Airway bifurcation stents were observed to be especially suitable for the sealing of fistulas near the trachea carina. Lung neoplasms Esophageorespiratory fistula Bronchopleural fistula Stents Neoplasms. Tumors. Oncology. Including cancer and carcinogens Dongmei LI verfasserin aut Nan ZHANG verfasserin aut Hang ZOU verfasserin aut Lingfei LUO verfasserin aut Hongming MA verfasserin aut Yunzhi ZHOU verfasserin aut Jing LI verfasserin aut Sujuan LIANG verfasserin aut In Chinese Journal of Lung Cancer Chinese Anti-Cancer Association; Chinese Antituberculosis Association, 2008 14(2011), 8, Seite 679-684 (DE-627)572421125 (DE-600)2438672-8 19996187 nnns volume:14 year:2011 number:8 pages:679-684 https://doi.org/10.3779/j.issn.1009-3419.2011.08.08 kostenfrei https://doaj.org/article/1044aa931983431cb374f82aa0bbb3bc kostenfrei http://dx.doi.org/10.3779/j.issn.1009-3419.2011.08.08 kostenfrei https://doaj.org/toc/1009-3419 Journal toc kostenfrei https://doaj.org/toc/1999-6187 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2011 8 679-684
allfieldsSound	10.3779/j.issn.1009-3419.2011.08.08 doi (DE-627)DOAJ022368205 (DE-599)DOAJ1044aa931983431cb374f82aa0bbb3bc DE-627 ger DE-627 rakwb chi RC254-282 Hongwu WANG verfasserin aut Sealing of Airway Fistulas for Metallic Covered Z-type Stents 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background and objective Treating airway fistulas, including esophagorespiratory fistulas (ERFs), bronchopleural fistulas (BPFs), and tracheomediastinal fistulas (TMFs), is difficult. The aim of this study is to evaluate the safety and clinical efficacy of metallic covered Z-type stents (CZTS) for the treatment of airway fistulas through bronchoscopy or fluroscopy. Methods Thirty-eight patients with fistulas between the esophagus, mediastina, and airways (32 ERFs, 5 BPFs, and 1 TMF) were retrospectively reviewed after treatment with covered metallic esophageal and airway stents. The fistulas were caused by esophageal (n=26), bronchogenic (n=11), and thyroid (n=1) carcinomas. Results Forty-six fistulas were found in 38 patients. The fistula size ranged from 0.5 cm to 7.0 cm. Forty airway covered metal stents (24 Y-type, 8 L-type, and 8 I-type) and 24 esophageal metal stents were placed. Complete responses to the sealing effects of fistulas were noted in 4.3% of all the fistulas, 60.9% showed complete clinical responses, 23.9% showed partial responses, and 10.9% showed no response. An effectivity rate of 89.1% was observed, and the median survival duration of all patients was 5 months. Conclusion The use of CZTS appears to be safe and feasible for the palliative treatment of ERFs, BPFs, and TMFs. Airway stent placement is recommended for patients with ERF. In the event that airway stents fail, esophageal stents should be given. Airway bifurcation stents were observed to be especially suitable for the sealing of fistulas near the trachea carina. Lung neoplasms Esophageorespiratory fistula Bronchopleural fistula Stents Neoplasms. Tumors. Oncology. Including cancer and carcinogens Dongmei LI verfasserin aut Nan ZHANG verfasserin aut Hang ZOU verfasserin aut Lingfei LUO verfasserin aut Hongming MA verfasserin aut Yunzhi ZHOU verfasserin aut Jing LI verfasserin aut Sujuan LIANG verfasserin aut In Chinese Journal of Lung Cancer Chinese Anti-Cancer Association; Chinese Antituberculosis Association, 2008 14(2011), 8, Seite 679-684 (DE-627)572421125 (DE-600)2438672-8 19996187 nnns volume:14 year:2011 number:8 pages:679-684 https://doi.org/10.3779/j.issn.1009-3419.2011.08.08 kostenfrei https://doaj.org/article/1044aa931983431cb374f82aa0bbb3bc kostenfrei http://dx.doi.org/10.3779/j.issn.1009-3419.2011.08.08 kostenfrei https://doaj.org/toc/1009-3419 Journal toc kostenfrei https://doaj.org/toc/1999-6187 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2011 8 679-684
language	Chinese
source	In Chinese Journal of Lung Cancer 14(2011), 8, Seite 679-684 volume:14 year:2011 number:8 pages:679-684
sourceStr	In Chinese Journal of Lung Cancer 14(2011), 8, Seite 679-684 volume:14 year:2011 number:8 pages:679-684
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Lung neoplasms Esophageorespiratory fistula Bronchopleural fistula Stents Neoplasms. Tumors. Oncology. Including cancer and carcinogens
isfreeaccess_bool	true
container_title	Chinese Journal of Lung Cancer
authorswithroles_txt_mv	Hongwu WANG @@aut@@ Dongmei LI @@aut@@ Nan ZHANG @@aut@@ Hang ZOU @@aut@@ Lingfei LUO @@aut@@ Hongming MA @@aut@@ Yunzhi ZHOU @@aut@@ Jing LI @@aut@@ Sujuan LIANG @@aut@@
publishDateDaySort_date	2011-01-01T00:00:00Z
hierarchy_top_id	572421125
id	DOAJ022368205
language_de	chinesisch
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callnumber-first	R - Medicine
author	Hongwu WANG
spellingShingle	Hongwu WANG misc RC254-282 misc Lung neoplasms misc Esophageorespiratory fistula misc Bronchopleural fistula misc Stents misc Neoplasms. Tumors. Oncology. Including cancer and carcinogens Sealing of Airway Fistulas for Metallic Covered Z-type Stents
authorStr	Hongwu WANG
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topic_title	RC254-282 Sealing of Airway Fistulas for Metallic Covered Z-type Stents Lung neoplasms Esophageorespiratory fistula Bronchopleural fistula Stents
topic	misc RC254-282 misc Lung neoplasms misc Esophageorespiratory fistula misc Bronchopleural fistula misc Stents misc Neoplasms. Tumors. Oncology. Including cancer and carcinogens
topic_unstemmed	misc RC254-282 misc Lung neoplasms misc Esophageorespiratory fistula misc Bronchopleural fistula misc Stents misc Neoplasms. Tumors. Oncology. Including cancer and carcinogens
topic_browse	misc RC254-282 misc Lung neoplasms misc Esophageorespiratory fistula misc Bronchopleural fistula misc Stents misc Neoplasms. Tumors. Oncology. Including cancer and carcinogens
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title	Sealing of Airway Fistulas for Metallic Covered Z-type Stents
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title_full	Sealing of Airway Fistulas for Metallic Covered Z-type Stents
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author_browse	Hongwu WANG Dongmei LI Nan ZHANG Hang ZOU Lingfei LUO Hongming MA Yunzhi ZHOU Jing LI Sujuan LIANG
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title_sort	sealing of airway fistulas for metallic covered z-type stents
callnumber	RC254-282
title_auth	Sealing of Airway Fistulas for Metallic Covered Z-type Stents
abstract	Background and objective Treating airway fistulas, including esophagorespiratory fistulas (ERFs), bronchopleural fistulas (BPFs), and tracheomediastinal fistulas (TMFs), is difficult. The aim of this study is to evaluate the safety and clinical efficacy of metallic covered Z-type stents (CZTS) for the treatment of airway fistulas through bronchoscopy or fluroscopy. Methods Thirty-eight patients with fistulas between the esophagus, mediastina, and airways (32 ERFs, 5 BPFs, and 1 TMF) were retrospectively reviewed after treatment with covered metallic esophageal and airway stents. The fistulas were caused by esophageal (n=26), bronchogenic (n=11), and thyroid (n=1) carcinomas. Results Forty-six fistulas were found in 38 patients. The fistula size ranged from 0.5 cm to 7.0 cm. Forty airway covered metal stents (24 Y-type, 8 L-type, and 8 I-type) and 24 esophageal metal stents were placed. Complete responses to the sealing effects of fistulas were noted in 4.3% of all the fistulas, 60.9% showed complete clinical responses, 23.9% showed partial responses, and 10.9% showed no response. An effectivity rate of 89.1% was observed, and the median survival duration of all patients was 5 months. Conclusion The use of CZTS appears to be safe and feasible for the palliative treatment of ERFs, BPFs, and TMFs. Airway stent placement is recommended for patients with ERF. In the event that airway stents fail, esophageal stents should be given. Airway bifurcation stents were observed to be especially suitable for the sealing of fistulas near the trachea carina.
abstractGer	Background and objective Treating airway fistulas, including esophagorespiratory fistulas (ERFs), bronchopleural fistulas (BPFs), and tracheomediastinal fistulas (TMFs), is difficult. The aim of this study is to evaluate the safety and clinical efficacy of metallic covered Z-type stents (CZTS) for the treatment of airway fistulas through bronchoscopy or fluroscopy. Methods Thirty-eight patients with fistulas between the esophagus, mediastina, and airways (32 ERFs, 5 BPFs, and 1 TMF) were retrospectively reviewed after treatment with covered metallic esophageal and airway stents. The fistulas were caused by esophageal (n=26), bronchogenic (n=11), and thyroid (n=1) carcinomas. Results Forty-six fistulas were found in 38 patients. The fistula size ranged from 0.5 cm to 7.0 cm. Forty airway covered metal stents (24 Y-type, 8 L-type, and 8 I-type) and 24 esophageal metal stents were placed. Complete responses to the sealing effects of fistulas were noted in 4.3% of all the fistulas, 60.9% showed complete clinical responses, 23.9% showed partial responses, and 10.9% showed no response. An effectivity rate of 89.1% was observed, and the median survival duration of all patients was 5 months. Conclusion The use of CZTS appears to be safe and feasible for the palliative treatment of ERFs, BPFs, and TMFs. Airway stent placement is recommended for patients with ERF. In the event that airway stents fail, esophageal stents should be given. Airway bifurcation stents were observed to be especially suitable for the sealing of fistulas near the trachea carina.
abstract_unstemmed	Background and objective Treating airway fistulas, including esophagorespiratory fistulas (ERFs), bronchopleural fistulas (BPFs), and tracheomediastinal fistulas (TMFs), is difficult. The aim of this study is to evaluate the safety and clinical efficacy of metallic covered Z-type stents (CZTS) for the treatment of airway fistulas through bronchoscopy or fluroscopy. Methods Thirty-eight patients with fistulas between the esophagus, mediastina, and airways (32 ERFs, 5 BPFs, and 1 TMF) were retrospectively reviewed after treatment with covered metallic esophageal and airway stents. The fistulas were caused by esophageal (n=26), bronchogenic (n=11), and thyroid (n=1) carcinomas. Results Forty-six fistulas were found in 38 patients. The fistula size ranged from 0.5 cm to 7.0 cm. Forty airway covered metal stents (24 Y-type, 8 L-type, and 8 I-type) and 24 esophageal metal stents were placed. Complete responses to the sealing effects of fistulas were noted in 4.3% of all the fistulas, 60.9% showed complete clinical responses, 23.9% showed partial responses, and 10.9% showed no response. An effectivity rate of 89.1% was observed, and the median survival duration of all patients was 5 months. Conclusion The use of CZTS appears to be safe and feasible for the palliative treatment of ERFs, BPFs, and TMFs. Airway stent placement is recommended for patients with ERF. In the event that airway stents fail, esophageal stents should be given. Airway bifurcation stents were observed to be especially suitable for the sealing of fistulas near the trachea carina.
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title_short	Sealing of Airway Fistulas for Metallic Covered Z-type Stents
url	https://doi.org/10.3779/j.issn.1009-3419.2011.08.08 https://doaj.org/article/1044aa931983431cb374f82aa0bbb3bc http://dx.doi.org/10.3779/j.issn.1009-3419.2011.08.08 https://doaj.org/toc/1009-3419 https://doaj.org/toc/1999-6187
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