{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T14:11:18Z","timestamp":1778335878904,"version":"3.51.4"},"reference-count":6,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T00:00:00Z","timestamp":1541030400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2018,10,31]]},"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p>A 63-year-old man who had received a permanent tracheostoma after oesophageal cancer surgery developed fistulas in the left and right main bronchi and suffered repeated aspiration pneumonia. Placing an indwelling Dumon Y-stent using a rigid bronchoscope is an option to treat fistula and stenosis at the tracheal bifurcation, but in some cases, it may be difficult to use a rigid bronchoscope in patients with a permanent tracheostoma. In this study, we report placing a Dumon Y-stent in a patient with a permanent tracheostoma using a specially modified stent and forceps instead of a rigid bronchoscope.<\/jats:p>","DOI":"10.1136\/bcr-2018-226500","type":"journal-article","created":{"date-parts":[[2018,12,18]],"date-time":"2018-12-18T17:19:47Z","timestamp":1545153587000},"page":"e226500","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Insertion of a Dumon Y-stent via a permanent tracheostoma without using a rigid bronchoscope"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2393-1233","authenticated-orcid":false,"given":"Kazuki","family":"Hayashi","sequence":"first","affiliation":[{"name":"Division of General Thoracic Surgery, Department of Surgery, Shiga University of Medical Science, Otsu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"Motoishi","sequence":"additional","affiliation":[{"name":"Division of General Thoracic Surgery, Mitsubishikyoto Hospital, Kyoto, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoru","family":"Sawai","sequence":"additional","affiliation":[{"name":"Division of General Thoracic Surgery, National Hospital Organization Kyoto Medical Center, Kyoto, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Hanaoka","sequence":"additional","affiliation":[{"name":"Division of General Thoracic Surgery, Department of Surgery, Shiga University of Medical Science, Otsu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,11,28]]},"reference":[{"key":"2025082711041982000_11.1.e226500.1","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1007\/s00595-009-4298-9","article-title":"Successful management of multiple esophagorespiratory fistulas using two types of stent: report of a case","volume":"41","author":"Hamai","year":"2011","journal-title":"Surg Today"},{"key":"2025082711041982000_11.1.e226500.2","first-page":"503","article-title":"Direct insertion of Dumon stents for patients with permanent tracheal stoma","volume":"25","author":"Izumi","year":"2003","journal-title":"J Jpn Soc Resp Endosc"},{"key":"2025082711041982000_11.1.e226500.3","doi-asserted-by":"crossref","first-page":"880","DOI":"10.2214\/AJR.12.10425","article-title":"Metallic stent placement for the management of tracheal carina strictures and fistulas: technical and clinical outcomes","volume":"202","author":"Kim","year":"2014","journal-title":"AJR Am J Roentgenol"},{"key":"2025082711041982000_11.1.e226500.4","first-page":"178","article-title":"[Dumon stent placement via endotracheal tube]","volume":"39","author":"Nomori","year":"2001","journal-title":"Nihon Kokyuki Gakkai Zasshi"},{"key":"2025082711041982000_11.1.e226500.5","first-page":"323","article-title":"Insertion of the Dumon Y-stent by flexible bronchoscopy","volume":"24","author":"Nakamura","year":"2002","journal-title":"J Jpn Soc Resp Endosc"},{"key":"2025082711041982000_11.1.e226500.6","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1055\/s-2003-42253","article-title":"Placement of the Dumon stent using a flexible bronchofiberscope via tracheostomy","volume":"51","author":"Watanabe","year":"2003","journal-title":"Thorac Cardiovasc Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bcr-2018-226500","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-226500","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:04:31Z","timestamp":1756317871000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-226500"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11]]},"references-count":6,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,11,28]]},"published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1136\/bcr-2018-226500"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-226500","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11]]}}}