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.
Original language | English |
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Pages (from-to) | 440-443 |
Number of pages | 4 |
Journal | Clinical Endoscopy |
Volume | 48 |
Issue number | 5 |
DOIs | |
Publication status | Published - 2015 Sept |
Externally published | Yes |
Bibliographical note
Publisher Copyright:© 2015 Korean Society of Gastrointestinal Endoscopy.
Keywords
- Esophagopleural fistula
- Negative-pressure wound therapy
- Over-the-scope-clip
ASJC Scopus subject areas
- Medicine (miscellaneous)
- Radiology Nuclear Medicine and imaging
- Gastroenterology