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Novel treatment (new drug/intervention; established drug/procedure in new situation)
CASE REPORT
Insertion of a Dumon Y-stent via a permanent tracheostoma without using a rigid bronchoscope
  1. Kazuki Hayashi1,
  2. Makoto Motoishi2,
  3. Satoru Sawai3 and
  4. Jun Hanaoka1
  1. 1 Division of General Thoracic Surgery, Department of Surgery, Shiga University of Medical Science, Otsu, Japan
  2. 2 Division of General Thoracic Surgery, Mitsubishikyoto Hospital, Kyoto, Japan
  3. 3 Division of General Thoracic Surgery, National Hospital Organization Kyoto Medical Center, Kyoto, Japan
  1. Correspondence to Dr Kazuki Hayashi, hayashik{at}belle.shiga-med.ac.jp

Abstract

A 63-year-old man who had received a permanent tracheostoma after oesophageal cancer surgery developed fistulas in the left and right main bronchi and suffered repeated aspiration pneumonia. Placing an indwelling Dumon Y-stent using a rigid bronchoscope is an option to treat fistula and stenosis at the tracheal bifurcation, but in some cases, it may be difficult to use a rigid bronchoscope in patients with a permanent tracheostoma. In this study, we report placing a Dumon Y-stent in a patient with a permanent tracheostoma using a specially modified stent and forceps instead of a rigid bronchoscope.

  • oesophageal cancer
  • palliative care
  • respiratory cancer

https://doi.org/10.1136/bcr-2018-226500

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    Footnotes

    • Contributors KH, MM, and SS carried out the procedure and care of the patient. KH was a major contributor in writing the manuscript. MM, SS and JH contributed to data collection and interpretation, and critically reviewed the manuscript. All authors read and approved the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Next of kin consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.