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This chapter discussesOesophago-airway fistula oesophago-airway fistula (OAF) complicating oesophageal stentingOesophageal stenting. This is a rare but serious complicationComplications of oesophageal stentingOesophageal stenting, with rates reported around 15% after stentingStenting for oesophageal cancer. Factors contributing to OAF include stent-related pressureStent-related pressure on the airway, migration, ischaemic injuryIschaemic injury, and malignancy progression. Management involves multidisciplinary teamMultidisciplinary team (MDT) (MDT) discussion, considering factors like fistula aetiology, airway/lung status, and patient condition. Ill-advised interventions can exacerbate the fistula. Two case summariesCase summaries illustrate surgical approachesSurgical approach: one involving staged repair of a tracheo-oesophageal fistulaTracheo-oesophageal fistula (TOF) followed by reconstructionReconstruction, and another detailing a combination of oesophagostomyOesophagostomy and constructing an access loop for the use of EsoSpongeEsoSponge deployment to manage persistent leakage and aspiration. Learning points emphasise careful stent use, staged repair strategies, and comprehensive MDT decision-making.

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Oesophago-Airways Fistula Complicating Oesophageal Stenting

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  • 发表日期：

    2025年

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  • Muntzer Mughal

摘要

This chapter discussesOesophago-airway fistula oesophago-airway fistula (OAF) complicating oesophageal stentingOesophageal stenting. This is a rare but serious complicationComplications of oesophageal stentingOesophageal stenting, with rates reported around 15% after stentingStenting for oesophageal cancer. Factors contributing to OAF include stent-related pressureStent-related pressure on the airway, migration, ischaemic injuryIschaemic injury, and malignancy progression. Management involves multidisciplinary teamMultidisciplinary team (MDT) (MDT) discussion, considering factors like fistula aetiology, airway/lung status, and patient condition. Ill-advised interventions can exacerbate the fistula. Two case summariesCase summaries illustrate surgical approachesSurgical approach: one involving staged repair of a tracheo-oesophageal fistulaTracheo-oesophageal fistula (TOF) followed by reconstructionReconstruction, and another detailing a combination of oesophagostomyOesophagostomy and constructing an access loop for the use of EsoSpongeEsoSponge deployment to manage persistent leakage and aspiration. Learning points emphasise careful stent use, staged repair strategies, and comprehensive MDT decision-making.