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Treatment of traumatic esophagopleural fistula using the over-the-scope-clip system

Authors
Kim, Ji HyoungPark, Jong JaeJung, Il WooKim, Sang HoonKim, Hee DongChoe, Jung WanJoo, Moon KyungKim, Hyun Gu
Issue Date
Sep-2015
Publisher
대한소화기내시경학회
Keywords
Esophagopleural fistula; Negative-pressure wound therapy; Over-the-scope-clip
Citation
Clinical Endoscopy, v.48, no.5, pp 440 - 443
Pages
4
Indexed
SCOPUS
KCI
Journal Title
Clinical Endoscopy
Volume
48
Number
5
Start Page
440
End Page
443
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/54145
DOI
10.5946/ce.2015.48.5.440
ISSN
2234-2400
2234-2443
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.
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Park, Jong Jae
Guro Hospital (Department of Gastroenterology and Hepatology, Guro Hospital)
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