دورية أكاديمية
Efficacy of airway stenting and nasogastric tube insertion in airway–esophageal fistula patients with airways compromised by advanced malignancy
| العنوان: | Efficacy of airway stenting and nasogastric tube insertion in airway–esophageal fistula patients with airways compromised by advanced malignancy |
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| المؤلفون: | Xue Wu, Guangbing Lu, Lin cheng Luo, Hailong Wei, Qun Yi, Wei Luo |
| المصدر: | The Clinical Respiratory Journal, Vol 18, Iss 2, Pp n/a-n/a (2024) |
| بيانات النشر: | Wiley, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Diseases of the respiratory system |
| مصطلحات موضوعية: | airway stent, airway–esophageal fistulas, malignancy, survival analysis, Diseases of the respiratory system, RC705-779 |
| الوصف: | Abstract Introduction Whether airway‐compromised airway–esophageal fistula (AEF) patients should undergo combined airway and esophageal stenting is controversial. This study was designed to evaluate the survival prognosis and poststent interventions in AEF patients with airways compromised by advanced malignancy with or without airway stents. Methods A retrospective analysis of the medical records, survival times, and poststent interventions of 17 patients with or without airway stents was performed. Results The causes of AEF were esophageal cancer (11/17, 64.7%), lung cancer (6/17, 29.4%), and thyroid cancer (1/17, 5.9%). All patients received a nasogastric tube (n = 12) or underwent gastrostomy (n = 5) to resume enteral nutrition. Thirteen patients underwent airway stent insertion (13/17, 76.5%), whereas four patients did not. Four patients with a high risk of stent migration received external stent fixation to the trachea. Three of the patients with stents suffered severe granulation tissue formation and needed repeated bronchoscopy interventions. In the stented group, none of the patients developed stent migration, and the overall median survival time was 9 months, compared with 1.25 months in the nonstented group (P = 0.04). Cox proportional hazards regression revealed that stent insertion, nasogastric tube insertion, and transcatheter bronchial artery chemoembolization were protective factors against death, whereas surgery‐related fistula, fistula larger than 2 cm, continued chemotherapy, and age were risk factors for poor survival (P |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1752-699X 1752-6981 |
| Relation: | https://doaj.org/toc/1752-6981; https://doaj.org/toc/1752-699X |
| DOI: | 10.1111/crj.13737 |
| URL الوصول: | https://doaj.org/article/4a02f7b3c7d947979cf5253431b405c7 |
| رقم الأكسشن: | edsdoj.4a02f7b3c7d947979cf5253431b405c7 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 1752699X 17526981 |
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| DOI: | 10.1111/crj.13737 |