Treatment of Traumatic Esophagopleural Fistula Using the Over-the-Scope-Clip System

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...

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Bibliographic Details
Published in:Clinical endoscopy 2015, 48(5), , pp.440-443
Main Authors: Kim, Ji Hyoung, Park, Jong-Jae, Jung, Il Woo, Kim, Sang Hoon, Kim, Hee Dong, Choe, Jung Wan, Joo, Moon Kyung, Kim, Hyun Gu
Format: Article
Language:English
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Case Report
내과학
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Summary: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.
ISSN:2234-2400
2234-2443
DOI:10.5946/ce.2015.48.5.440