Endoscopic treatment with lumen-apposing metal stent in a patient with esophageal stricture and esophagobronchial fistula: a case report
Endoscopic interventions for postoperative esophageal strictures and fistulas are inherently challenging. The use of conventional self-expandable metallic stents has been restricted due to high migration rates. There has been no report about malignant esophageal stricture and postoperative fistula m...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-07-01
|
| Series: | Frontiers in Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1557738/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849320340914700288 |
|---|---|
| author | Mengmeng Zhang Hao Tang Yunlu Feng Aiming Yang |
| author_facet | Mengmeng Zhang Hao Tang Yunlu Feng Aiming Yang |
| author_sort | Mengmeng Zhang |
| collection | DOAJ |
| description | Endoscopic interventions for postoperative esophageal strictures and fistulas are inherently challenging. The use of conventional self-expandable metallic stents has been restricted due to high migration rates. There has been no report about malignant esophageal stricture and postoperative fistula managed with a lumen-apposing metal stent (LAMS). We present a case of refractory postoperative anastomotic stricture and esophagobronchial fistula following esophagectomy. Endoscopic deployment of a LAMS effectively relieved the obstruction and sealed the fistula, with the patient tolerating the procedure well and experiencing sustained symptom resolution for 4 weeks. This case suggests the potential role of LAMS in maintaining luminal patency and sealing fistulas. Endoscopic ultrasound-guided LAMS placement should be a technically feasible, effective and minimally invasive approach for postoperative esophageal stenosis and fistula. |
| format | Article |
| id | doaj-art-65eff08c66bd468eb1443222907ce97f |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-65eff08c66bd468eb1443222907ce97f2025-08-20T03:50:07ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-07-011210.3389/fmed.2025.15577381557738Endoscopic treatment with lumen-apposing metal stent in a patient with esophageal stricture and esophagobronchial fistula: a case reportMengmeng ZhangHao TangYunlu FengAiming YangEndoscopic interventions for postoperative esophageal strictures and fistulas are inherently challenging. The use of conventional self-expandable metallic stents has been restricted due to high migration rates. There has been no report about malignant esophageal stricture and postoperative fistula managed with a lumen-apposing metal stent (LAMS). We present a case of refractory postoperative anastomotic stricture and esophagobronchial fistula following esophagectomy. Endoscopic deployment of a LAMS effectively relieved the obstruction and sealed the fistula, with the patient tolerating the procedure well and experiencing sustained symptom resolution for 4 weeks. This case suggests the potential role of LAMS in maintaining luminal patency and sealing fistulas. Endoscopic ultrasound-guided LAMS placement should be a technically feasible, effective and minimally invasive approach for postoperative esophageal stenosis and fistula.https://www.frontiersin.org/articles/10.3389/fmed.2025.1557738/fullesophageal strictureesophagobronchial fistulalumen-apposing metal stentendoscopic treatmentcase report |
| spellingShingle | Mengmeng Zhang Hao Tang Yunlu Feng Aiming Yang Endoscopic treatment with lumen-apposing metal stent in a patient with esophageal stricture and esophagobronchial fistula: a case report Frontiers in Medicine esophageal stricture esophagobronchial fistula lumen-apposing metal stent endoscopic treatment case report |
| title | Endoscopic treatment with lumen-apposing metal stent in a patient with esophageal stricture and esophagobronchial fistula: a case report |
| title_full | Endoscopic treatment with lumen-apposing metal stent in a patient with esophageal stricture and esophagobronchial fistula: a case report |
| title_fullStr | Endoscopic treatment with lumen-apposing metal stent in a patient with esophageal stricture and esophagobronchial fistula: a case report |
| title_full_unstemmed | Endoscopic treatment with lumen-apposing metal stent in a patient with esophageal stricture and esophagobronchial fistula: a case report |
| title_short | Endoscopic treatment with lumen-apposing metal stent in a patient with esophageal stricture and esophagobronchial fistula: a case report |
| title_sort | endoscopic treatment with lumen apposing metal stent in a patient with esophageal stricture and esophagobronchial fistula a case report |
| topic | esophageal stricture esophagobronchial fistula lumen-apposing metal stent endoscopic treatment case report |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1557738/full |
| work_keys_str_mv | AT mengmengzhang endoscopictreatmentwithlumenapposingmetalstentinapatientwithesophagealstrictureandesophagobronchialfistulaacasereport AT haotang endoscopictreatmentwithlumenapposingmetalstentinapatientwithesophagealstrictureandesophagobronchialfistulaacasereport AT yunlufeng endoscopictreatmentwithlumenapposingmetalstentinapatientwithesophagealstrictureandesophagobronchialfistulaacasereport AT aimingyang endoscopictreatmentwithlumenapposingmetalstentinapatientwithesophagealstrictureandesophagobronchialfistulaacasereport |