Treatment of traumatic esophagopleural fistula using the over-the-scope-clip system
- Kim, Ji Hyoung; Park, Jong Jae; Jung, Il Woo; Kim, Sang Hoon; Kim, Hee Dong; Choe, Jung Wan; Joo, Moon Kyung; Kim, Hyun Gu
- Issue Date
- Esophagopleural fistula; Negative-pressure wound therapy; Over-the-scope-clip
- Clinical Endoscopy, v.48, no.5, pp.440 - 443
- Journal Title
- Clinical Endoscopy
- Start Page
- End Page
- 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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- 2. Clinical Science > Department of Gastroenterology and Hepatology > 1. Journal Articles
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