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Correspondence
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Volume 337:1778 December 11, 1997 Number 24
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Fatal Esophagoaortic Fistula after Placement of a Self-Expanding Metal Stent in a Patient with Esophageal Carcinoma

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To the Editor: Standard therapy for early esophageal carcinoma is surgical resection or chemoradiotherapy followed by resection.1 In advanced stages, palliative measures are important. Endoscopic placement of a stent is a safe, effective, and noninvasive procedure to relieve dysphagia. We describe a complication of a self-expanding metal stent, resulting in a fatal hemorrhage from an esophagoaortic fistula.

A 62-year-old man presented with dysphagia. Endoscopy and radiologic examination of the esophagus revealed a proximal obstruction about 10 cm in length, caused by a squamous-cell carcinoma. Because of locally advanced disease and the patient's poor physical condition, surgery or chemoradiotherapy could not . . . [Full Text of this Article]

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