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 journalArticle

2 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 Jan 1
Externally publishedYes

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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