A three dimensional printed endobronchial stent for the treatment of a broncho-esophageal fistula
Broncho-esophageal fistulas (BEFs) are a rare but serious complication that can occur after esophagectomy, often resulting in aspiration, respiratory issues, and infection. Management depends on fistula size and location, with options including conservative treatments, surgical closure and stenting....
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Respiratory Medicine Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S221300712500005X |
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| author | Illaa Smesseim Sophia van Beelen Jolanda M. van Dieren Koen J. Hartemink Johanna van Sandick Jacobus A. Burgers |
| author_facet | Illaa Smesseim Sophia van Beelen Jolanda M. van Dieren Koen J. Hartemink Johanna van Sandick Jacobus A. Burgers |
| author_sort | Illaa Smesseim |
| collection | DOAJ |
| description | Broncho-esophageal fistulas (BEFs) are a rare but serious complication that can occur after esophagectomy, often resulting in aspiration, respiratory issues, and infection. Management depends on fistula size and location, with options including conservative treatments, surgical closure and stenting. Conventional treatment involves esophageal stents, which may be insufficient for larger or more complex fistulas. This case report describes the first use of a 3D-printed airway stent in combination with an esophageal stent to treat a broncho-esophageal fistula. A 70-year-old patient with distal esophageal adenocarcinoma, treated with neoadjuvant chemoradiation, underwent robot-assisted minimally invasive esophagectomy. The procedure was complicated by a broncho-esophageal fistula, leading to multiple interventions. Despite dual stenting with a custom 3D airway stent, the fistula persisted, and the patient was transitioned to supportive care due to disease progression. This case, the first to use a 3D-printed airway stent for a broncho-esophageal fistula, demonstrates that the stent did not achieve closure, likely due to excessive pressure against the endobronchial wall. This underscores the need for improved 3D stent designs, offering important insights for interventional pulmonologists. |
| format | Article |
| id | doaj-art-d83373ce86aa4a5ea00946d910ab9e23 |
| institution | Kabale University |
| issn | 2213-0071 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Respiratory Medicine Case Reports |
| spelling | doaj-art-d83373ce86aa4a5ea00946d910ab9e232025-02-09T05:00:22ZengElsevierRespiratory Medicine Case Reports2213-00712025-01-0153102169A three dimensional printed endobronchial stent for the treatment of a broncho-esophageal fistulaIllaa Smesseim0Sophia van Beelen1Jolanda M. van Dieren2Koen J. Hartemink3Johanna van Sandick4Jacobus A. Burgers5Department of Thoracic Oncology, Netherlands Cancer Institute, Amsterdam, the Netherlands; Department of Thoracic Oncology, Leiden University Medical Center, Leiden, the Netherlands; Corresponding author.Department of Thoracic Oncology, Netherlands Cancer Institute, Amsterdam, the NetherlandsDepartment of Gastrointestinal Oncology, Netherlands Cancer Institute, Amsterdam, the NetherlandsDepartment of Surgery, Netherlands Cancer Institute, Amsterdam, the Netherlands; Department of Thoracic Oncology, Leiden University Medical Center, Leiden, the NetherlandsDepartment of Surgery, Netherlands Cancer Institute, Amsterdam, the NetherlandsDepartment of Thoracic Oncology, Netherlands Cancer Institute, Amsterdam, the NetherlandsBroncho-esophageal fistulas (BEFs) are a rare but serious complication that can occur after esophagectomy, often resulting in aspiration, respiratory issues, and infection. Management depends on fistula size and location, with options including conservative treatments, surgical closure and stenting. Conventional treatment involves esophageal stents, which may be insufficient for larger or more complex fistulas. This case report describes the first use of a 3D-printed airway stent in combination with an esophageal stent to treat a broncho-esophageal fistula. A 70-year-old patient with distal esophageal adenocarcinoma, treated with neoadjuvant chemoradiation, underwent robot-assisted minimally invasive esophagectomy. The procedure was complicated by a broncho-esophageal fistula, leading to multiple interventions. Despite dual stenting with a custom 3D airway stent, the fistula persisted, and the patient was transitioned to supportive care due to disease progression. This case, the first to use a 3D-printed airway stent for a broncho-esophageal fistula, demonstrates that the stent did not achieve closure, likely due to excessive pressure against the endobronchial wall. This underscores the need for improved 3D stent designs, offering important insights for interventional pulmonologists.http://www.sciencedirect.com/science/article/pii/S221300712500005XFistulaStentThree dimensional stent3dBroncho-esophageal fistula |
| spellingShingle | Illaa Smesseim Sophia van Beelen Jolanda M. van Dieren Koen J. Hartemink Johanna van Sandick Jacobus A. Burgers A three dimensional printed endobronchial stent for the treatment of a broncho-esophageal fistula Respiratory Medicine Case Reports Fistula Stent Three dimensional stent 3d Broncho-esophageal fistula |
| title | A three dimensional printed endobronchial stent for the treatment of a broncho-esophageal fistula |
| title_full | A three dimensional printed endobronchial stent for the treatment of a broncho-esophageal fistula |
| title_fullStr | A three dimensional printed endobronchial stent for the treatment of a broncho-esophageal fistula |
| title_full_unstemmed | A three dimensional printed endobronchial stent for the treatment of a broncho-esophageal fistula |
| title_short | A three dimensional printed endobronchial stent for the treatment of a broncho-esophageal fistula |
| title_sort | three dimensional printed endobronchial stent for the treatment of a broncho esophageal fistula |
| topic | Fistula Stent Three dimensional stent 3d Broncho-esophageal fistula |
| url | http://www.sciencedirect.com/science/article/pii/S221300712500005X |
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