Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Radiologic Insertion of a Covered Esophageal Stent Using the Rendezvous Technique: A Case Report

랑데부 방법을 이용한 영상의학적 식도 커버드 스텐트 삽입술: 증례 보고

  • Yoojin Park (Department of Radiology, Gil Medical Center, Gachon University College of Medicine) ;
  • Suyoung Park (Department of Radiology, Gil Medical Center, Gachon University College of Medicine) ;
  • Jung Han Hwang (Department of Radiology, Gil Medical Center, Gachon University College of Medicine) ;
  • Jeong Ho Kim (Department of Radiology, Gil Medical Center, Gachon University College of Medicine) ;
  • So Hyun Park (Department of Radiology, Gil Medical Center, Gachon University College of Medicine)
  • 박유진 (가천대학교 의과대학 길병원 영상의학과) ;
  • 박수영 (가천대학교 의과대학 길병원 영상의학과) ;
  • 황정한 (가천대학교 의과대학 길병원 영상의학과) ;
  • 김정호 (가천대학교 의과대학 길병원 영상의학과) ;
  • 박소현 (가천대학교 의과대학 길병원 영상의학과)
  • Received : 2023.12.04
  • Accepted : 2024.01.29
  • Published : 2024.07.01
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Abstract

In this report, we present a case of a radiotherapy-induced tracheoesophageal fistula treated with the fluoroscopy-guided insertion of a covered stent through the gastrostomy route using both the antegrade and retrograde approaches. The initial antegrade endoscopic and fluoroscopic stent insertion procedure failed due to severe esophageal stricture. Compared to the endoscopic approaches, fluoroscopy-guided radiologic procedures are generally less invasive and more successful because they allow for a better understanding of the anatomy outside the lumen during the procedure and enable the use of devices with smaller diameters.

저자들은 방사선 치료 후 발생한 기관-식도루에 대해, 투시경을 이용하여 입(정방향)과 위루(역방향)를 통하여 식도에 커버드 스텐트를 삽입한 증례를 보고한다. 투시경적 접근법은 내시경적 접근법과 비교하여 덜 침습적이고 성공률이 높을 수 있는데, 이는 투시경적 접근법이 시술 중 식도 바깥쪽의 구조를 파악할 수 있고, 더 얇은 구경의 기구들을 사용하기 때문이다.

Keywords

References

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