case_images: PMC3271698_01
case_images: Right posterior oblique spot radiograph during esophogram shows obliterating stricture at the pharyngo-esophageal junction. Contrast material extravasated into the soft tissues of the anterior right neck and through the tracheostomy stoma
case_images: SJG-18-62-g001.jpg
case_images: PMC3271698_01_SJG-18-62-g001.jpg
case_images: F1
case_images: In addition, separate tracheoesophageal and pharyngo-cutaneous fistulae were demostrated [Figure 1a]. The stent was deployed 14-23 cm from the incisors [Figure 1b]. Repeat barium swallow at 3 and 7 months showed a patent stent with no leak or migration [Figure 1c]. He returned 14 months later; repeat endoscopy was performed under general anesthesia and the stent removed successfully using the double-channel therapeutic endoscope and a rat tooth forceps [Figure 1d]. Repeat barium swallow confirmed the absence of leakage [Figure 1e], and the patient tolerated oral intake without dysphagia, choking, or leakage through the cervical soft tissues.
case_images: PMC3271698_02
case_images: Endoscopic view of the stent at the level of hypopharynx
case_images: SJG-18-62-g002.jpg
case_images: PMC3271698_02_SJG-18-62-g002.jpg
case_images: F2
case_images: Barium swallow showed a pharyngo-tracheal fistula [Figure 2a]. Repeat endoscopy and contrast esophagogram showed proximal stent margin located at the base of the tongue [Figures 2b and 2c] and the fistula sealed completely. Repeat barium swallow showed complete occlusion of the fistula [Figure 2d].
case_images: PMC3271698_03