To the Editor: Standard therapy for early esophageal carcinomais surgical resection or chemoradiotherapy followed by resection.1In advanced stages, palliative measures are important. Endoscopicplacement of a stent is a safe, effective, and noninvasive procedureto relieve dysphagia. We describe a complication of a self-expandingmetal stent, resulting in a fatal hemorrhage from an esophagoaorticfistula.
A 62-year-old man presented with dysphagia. Endoscopy and radiologicexamination of the esophagus revealed a proximal obstructionabout 10 cm in length, caused by a squamous-cell carcinoma.Because of locally advanced disease and the patient's poor physicalcondition, surgery or chemoradiotherapy could not . . . [Full Text of this Article]
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