P. Marques, I Alves

Resumo

Descreve-se um caso clínico de encerramento com sucesso de uma fistula esofago-pleural benigna com recurso a uma prótese de Polyflex. Um mês após remoção da prótese o doente referiu disfagia, identificando-se uma estenose no local prévio de localização da prótese. Após dilatação e injecção de corticoide intra-parietal verificou-se a sua resolução. As prótese de Polyflex têm uma utilização crescente em patologia benigna do esófago (estenoses, fistulas ou perfuração). Estenoses secundárias após a sua remoção não foram previamente descritas.

 Summary

We report a case of successful closure of a benign esophago-pleural fistula with a Polyflex stent. One month after stent retrieval the patient developed dysphagia and a stricture was noted at the previous stent location. After esophageal dilation and steroid injection the stricture resolved. The new Polyflex stent is increasingly being used to manage benign esophageal diseases such as strictures, fistulas or perforation. Secondary esophageal strictures have not been previously reported.

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Correspondência:

 Pedro Pinto Marques, MD

Hospital São Francisco Xavier, SA

Estrada Forte do Alto do Duque

1449-005 Lisboa

Portugal

e-mail: pedromarq@hotmail.com

Endoscopy Unit, Hospital São Francisco Xavier, SA, Lisbon, Portugal.

Recebido para publicação: 17/01/2006

Aceite para publicação: 17/05/2006