イチキ　ヨシノブ   ICHIKI Yoshinobu   市来　嘉伸    所属   埼玉医科大学  医学部 国際医療センター　呼吸器外科    職種   専任講師
論文種別	学術雑誌(原著)
言語種別	日本語
査読の有無	査読なし
表題	[Placement of An Expandable Metallic Stent for Malignant Tracheal Stenosis: A Case Report].
掲載誌名	正式名：Journal of UOEH
巻・号・頁	38(1),71-6頁
著者・共著者	Yoshinobu Ichiki,Junji Kawasaki,Tetsuro Yoshida,Takayuki Hamatsu,Taketoshi Suehiro,Fumihiro Tanaka,Keizo Sugimachi
発行年月	2016/03
概要	The utility of stent placements has been widely reported. We performed a thought-provoking stent placement for malignant tracheal stenosis recently. A 90-year-old woman who was admitted to our hospital because of a urinary tract infection was treated with a course of antibiotics, but she demonstrated a rapidly progressive course with dyspnea. Chest computed tomography showed severe tracheal stenosis due to an upper mediastinal mass. She was put on noninvasive positive pressure ventilation (NPPV) because of severe respiratory failure. Bronchoscopy showed severe tracheal stenosis due to direct invasion by the upper mediastinal mass. An expandable metallic stent (EMS) was placed in the trachea, after which a bronchoscopy showed a widely patent airway, and she got off NPPV. Then she did not need supplemental oxygen. She could seat herself, and have an enough meal, independently. However, takotsubo cardiomyopathy occurred and she died 11 days after the placement of the EMS. Since a malignant airway complication can be fatal, tracheal stent placement is a useful treatment in the management of malignancy with airway stenosis. In this case, it was thought that an early intervention of airw
DOI	10.7888/juoeh.38.71
PMID	26972948