Other Advanced Procedures

Large airway tumour debulking
Metallic stent placement for airway narrowing and fistulas
Tracheal dilatation
Rigid bronchoscopy

  • These are procedures that require advanced expertise and skill level. Only a handful of interventional
  • bronchoscopists can perform these procedures safely with satisfactory outcomes.
  • The procedures are summarised here and if you require this type of advanced procedure Dr Herath will discuss with you the risks and benefits on individual basis.

Metallic Stent Placement

What is Metallic Stent Placement?

  • Metallic stents are now increasingly being used to manage patients with a diverse range of endobronchial disorders.
  • If for instance an airway is partly blocked by lung cancer, it can make it difficult to breathe a stent, or hollow tube may be inserted into the airway.
  • This procedure is generally done as an urgent inpatient procedure as above.
  • You will be staying in hospital for at least 2 days post procedure.

What conditions is Metallic Stent Placement used for?

  • Metallic stents are used to help treat lung cancer patients, also to treat infection, lymphoma and other inflammatory diseases.
  • They are also frequently used to expand the airways of lung transplant patients.
  • They can also be used to close gaps in conditions called fistulas.
  • This is an abnormal connection between two organs.
  • A common abnormal connection that occurs is between the trachea and the lower oesophagus with oesophageal cancer.

What are the side-effects of Metallic Stent Placement?

  • Side effects of Metallic Stent Placement include chest pain, dysphagia difficulty swallowing, stent blockage or migration, GI bleeding and malposition.