Treatment of Traumatic Esophagopleural Fistula Using the Over-the-Scope-Clip System
Clinical Endoscopy
; : 440-443, 2015.
Article
in En
| WPRIM
| ID: wpr-17777
Responsible library:
WPRO
ABSTRACT
Esophagopleural fistula (EPF) is a rare condition that is usually accompanied by severe infection and life-threatening morbidity. Here, we report the successful treatment of an EPF by closing an esophageal orifice using the over-the-scope-clip (OTSC) system without postprocedural complications. A 41-year-old man had serious thoracic and abdominal trauma due to a traffic accident. Computed tomography revealed findings suggestive of esophageal rupture due to Boerhaave syndrome. An emergent explorative operation was performed for primary repair with the insertion of a vacuum-assisted closure device. A postoperative upper gastrointestinal series revealed an EPF tract connecting the left pleural space and distal esophagus. We performed an endoscopic procedure using the "traumatic-type"OTSC to seal the EPF, and the esophageal orifice was completely healed 2 weeks postoperatively. The OTSC system might represent a safe and feasible modality for the treatment of EPF.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Rupture
/
Accidents, Traffic
/
Esophagus
/
Negative-Pressure Wound Therapy
/
Fistula
Limits:
Adult
/
Humans
Language:
En
Journal:
Clinical Endoscopy
Year:
2015
Type:
Article