{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T10:38:56Z","timestamp":1792319936271,"version":"4.4.0"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,5,14]],"date-time":"2020-05-14T00:00:00Z","timestamp":1589414400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,5,14]],"date-time":"2020-05-14T00:00:00Z","timestamp":1589414400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Gastroenterol"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Oesophageal stents have several well-known respiratory complications, including aspiration pneumonia, fistula and airway compression. However, bilateral vocal cord paralysis has rarely been described.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>We describe two patients who presented with refractory dysphagia due to malignant proximal oesophageal strictures. Both received palliative treatment consisting of fully covered self-expandable metal stents that were placed across the strictures.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Both patients developed inspiratory stridor and acute hypoxemic respiratory failure shortly after the stent was placed. Flexible bronchoscopy revealed vocal cord paralysis in paramedian position, potentially due to extrinsic compression of the posterior branch of the recurrent laryngeal nerve following the progressive opening of the esophageal prosthesis. One patient recovered after the stent was removed.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Bilateral vocal cord paralysis is a rare but potentially fatal complication of proximal esophagus stenting.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s12876-020-01300-4","type":"journal-article","created":{"date-parts":[[2020,5,14]],"date-time":"2020-05-14T19:04:59Z","timestamp":1589483099000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Bilateral vocal cord paralysis after endoscopic placement of fully covered self-expandable metal stent for palliative treatment of malignant proximal esophageal obstruction: two case reports"],"prefix":"10.1186","volume":"20","author":[{"given":"Y.","family":"Chiche","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Beltramo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Degand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Drouillard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Foignot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Baudouin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Bonniaud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4659-5076","authenticated-orcid":false,"given":"M.","family":"Georges","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,5,14]]},"reference":[{"key":"1300_CR1","first-page":"4","volume":"11","author":"MP \u0141ochowski","year":"2016","unstructured":"\u0141ochowski MP, Brzezi\u0144ski D, R\u0119bowski M, et al. Complications after treating esophageal strictures with prostheses and stents - 20 years\u2019 experience. Wideochir Inne Tech Maloinwazyjne. 2016;11:4..","journal-title":"Wideochir Inne Tech Maloinwazyjne"},{"key":"1300_CR2","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1016\/S0246-0351(12)56065-4","volume":"7","author":"P C\u00e9ruse","year":"2012","unstructured":"C\u00e9ruse P, Ltaief-Boudrigua A, Buiret G, et al. Anatomie descriptive, endoscopique et radiologique du larynx. EMC Oto rhino laryngologie. 2012;7:2.","journal-title":"EMC Oto rhino laryngologie"},{"key":"1300_CR3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1001\/archotol.1989.01860250097035","volume":"115","author":"M Friedman","year":"1989","unstructured":"Friedman M, Toriumi DM. Esophageal stethoscope. Another possible cause of vocal cord paralysis. Arch Otolaryngol Head Neck Surg. 1989;115:1.","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"Suppl 1 UCTN","key":"1300_CR4","first-page":"E155","volume":"46","author":"TG Moreels","year":"2014","unstructured":"Moreels TG, De Schepper HU, Macken EJ, et al. Vocal cord paralysis due to self-expandable metal stent in the proximal esophagus. Endoscopy. 2014;46(Suppl 1 UCTN):E155\u20136.","journal-title":"Endoscopy"},{"issue":"Suppl 2","key":"1300_CR5","doi-asserted-by":"publisher","first-page":"E150","DOI":"10.1055\/s-2007-995773","volume":"40","author":"ZF Gellad","year":"2008","unstructured":"Gellad ZF, Hampton D, Tebbit CL, et al. Bilateral vocal cord paralysis following stent placement for proximal esophageal stricture. Endoscopy. 2008;40(Suppl 2):E150.","journal-title":"Endoscopy"}],"container-title":["BMC Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12876-020-01300-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12876-020-01300-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12876-020-01300-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,13]],"date-time":"2021-05-13T23:21:19Z","timestamp":1620948079000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcgastroenterol.biomedcentral.com\/articles\/10.1186\/s12876-020-01300-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,14]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["1300"],"URL":"https:\/\/doi.org\/10.1186\/s12876-020-01300-4","relation":{},"ISSN":["1471-230X"],"issn-type":[{"value":"1471-230X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,14]]},"assertion":[{"value":"1 March 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 May 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 May 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"At the moment we wrote this manuscript, the two patients reported had died. Relatives were informed for our work and gave their written consent for publication of case reports.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"153"}}