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

Fingerprint

Surgical Instruments
Esophageal Fistula
Fistula
Negative-Pressure Wound Therapy
Traffic Accidents
Esophagus
Rupture
Thorax
Therapeutics
Tomography
Morbidity
Equipment and Supplies
Wounds and Injuries
Infection

Keywords

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

ASJC Scopus subject areas

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

Cite this

Kim, J. H., Park, J. J., Jung, I. W., Kim, S. H., Kim, H. D., Choe, J. W., ... Kim, H. G. (2015). Treatment of traumatic esophagopleural fistula using the over-the-scope-clip system. Clinical Endoscopy, 48(5), 440-443. https://doi.org/10.5946/ce.2015.48.5.440

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.

In: Clinical Endoscopy, Vol. 48, No. 5, 01.01.2015, p. 440-443.

Research output: Contribution to journalArticle

Kim, Ji Hyoung ; Park, Jong Jae ; Jung, Il Woo ; Kim, Sang Hoon ; Kim, Hee Dong ; Choe, Jung Wan ; Joo, Moon Kyung ; Kim, Hyun Gu. / Treatment of traumatic esophagopleural fistula using the over-the-scope-clip system. In: Clinical Endoscopy. 2015 ; Vol. 48, No. 5. pp. 440-443.
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