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Current treatment of tracheoesophageal fistula

机译:气管食管瘘的当前治疗方法

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Tracheoesophageal fistulas (TEFs) often occur with esophageal or bronchial carcinoma. Currently, we rely on implantation of delicate devices, such as self-expanding and silicone stents, in the esophagus or trachea to cover the fistula and expand the stenosis in order to relieve patient pain. However, because each case is different, our approach may not be effective for every patient. Consequently, new devices and technology have emerged to address these situations, such as degradable stents, Amplatzer? devices, endobronchial one-way umbrella-shaped valves, and transplantation of mesenchymal stem cells. Although some studies have shown such alternatives can be reasonable solutions in special cases, further development of other new and effectual techniques is of utmost importance.
机译:气管食管瘘(TEF)常与食管或支气管癌发生。目前,我们依靠在食道或气管中植入诸如自扩张和硅胶支架之类的精密装置来覆盖瘘管并扩张狭窄,以减轻患者的痛苦。但是,由于每种情况都不同,因此我们的方法可能并非对每个患者都有效。因此,出现了针对这些情况的新设备和技术,例如可降解支架,Amplatzer ?设备,支气管内单向伞形瓣膜和间充质干细胞的移植。尽管一些研究表明,在特殊情况下,此类替代方案可以作为合理的解决方案,但其他新的有效技术的进一步开发至关重要。

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