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

Ji Hyoung Kim, Jong Jae Park, Il Woo Jung, Sang Hoon Kim, Hee Dong Kim, Jung Wan Choe, Moon Kyung Joo, Hyun Gu Kim

    Research output: Contribution to journalArticlepeer-review

    3 Citations (Scopus)

    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 languageEnglish
    Pages (from-to)440-443
    Number of pages4
    JournalClinical Endoscopy
    Volume48
    Issue number5
    DOIs
    Publication statusPublished - 2015 Sep

    Keywords

    • Esophagopleural fistula
    • Negative-pressure wound therapy
    • Over-the-scope-clip

    ASJC Scopus subject areas

    • Medicine (miscellaneous)
    • Radiology Nuclear Medicine and imaging
    • Gastroenterology

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