양성 식도 협착에서 스텐트 삽입에 의한 대동맥 식도 누공 1예 |
김자원ㆍ방성조ㆍ김도하ㆍ정희철ㆍ오쌍용ㆍ이상진ㆍ이지은ㆍ이정훈 |
울산대학교 의과대학 울산대학교병원 내과학교실 |
A Case of Aortoesophageal Fistula Complicated by a Stent for Benign Esophageal Stricture |
Ja Won Kim, M.D., Sung Jo Bang, M.D., Do Ha Kim, M.D., Hee Chul Jung, M.D., Ssang Yong Oh, M.D., Sang Jin Lee, M.D., Ji Eun Lee, M.D. and Jeong Hoon Lee, M.D. |
Department of Internal Medicine, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea |
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Abstract |
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Self-expandable metallic stents (SEMS) are widely used for the palliative treatment of malignant strictures of the gastrointestinal tract. Recently, several studies tested whether a SEMS is an effective and safe option for benign esophageal stricture. Serious complications such as hemorrhage, compression of the bronchus, bronchoesophageal fistula, and esophageal rupture were infrequently encountered as complications of esophageal stent placement. Aortoesophageal fistula is extremely rare as a complication of esophageal SEMS insertion; only seven cases have been reported worldwide. We now report a case of an 80-year old female with aortoesophageal fistula after placement of a SEMS for an esophageal stricture. (Korean J Gastrointest Endosc 2010;40:357-360) |
Key Words:
Aortoesophageal fistula, SEMS, Benign esophageal stricture |
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