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- W4304788954 abstract "An 85-year-old woman with a history of non–small cell lung cancer treated with chemoradiation, currently in remission, presented with recurrent episodes of pneumonia. An esophagram demonstrated evidence of esophageal leak (A, arrow). Upper endoscopy showed a tracheoesophageal fistula in the middle third of the esophagus (B, arrow). An 18-mm x 123-mm Wallflex fully covered metal stent (Boston Scientific, Marlborough, Mass, USA) was deployed over the fistula site. A follow-up esophagram 6 weeks later demonstrated a persistent leak with pooling of contrast material along the side of the stent to the fistula site. After discussion of the risks and benefits, a decision was made to place a larger-diameter esophageal stent. The tracheoesophageal fistula was confirmed on upper endoscopy. Therefore, the stent was exchanged for a 20-mm × 120-mm fully covered metal stent (Taewoong Medical, Gyeonggi-do, South Korea) (C). Eight weeks later, the patient presented with septic shock. CT of the chest followed by MRI of the spine revealed lytic destruction of the T2-T3 vertebral bodies resulting from direct extension from the proximal portion of the esophageal stent, with a large intraspinal abscess and spinal stenosis (D). Given the patient’s multiple comorbidities, she was deemed a poor surgical candidate and elected for comfort care." @default.
- W4304788954 created "2022-10-13" @default.
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- W4304788954 date "2023-03-01" @default.
- W4304788954 modified "2023-10-16" @default.
- W4304788954 title "Spinal cord compression related to an esophageal self-expandable metal stent" @default.
- W4304788954 doi "https://doi.org/10.1016/j.gie.2022.10.013" @default.
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