Arianna Massella, Diego Giongo, Francesco Tomba, Angelo Cerofolini, Thomas Togliani, Claudio Micheletto, Luca Rodella
Oesophageal cancer frequently presents as an advanced disease at the time of diagnosis. A close anatomical relationship between oesophagus and tracheobronchial tree can lead to airway stenosis and to the formation of oesophagorespiratory fistulas in these patients. Patients present dysphagia, anorexia, dyspnoea and respiratory failure-sepsis due to potentially life-threatening aspiration pneumonia. In this setting, palliative strategies are the only options. The treatment for the most advanced diseases involves stenting of the oesophagus, airway or both. The type and the timing for palliative stenting must be based on careful individual assessment, which considers the risks and benefits of each modality and aims to rapidly relieve symptoms and improve the patient’s remaining quality of life.
Massella A, Giongo D, Tomba F, et al. Il trattamento combinato con stent esofageo e respiratorio della neoplasia esofagea avanzata. GIED. 2023 Set;vol.3:17-23