Radiologic Intervention of Esophagobronchial Fistula in Adults: Effeativeness of Oirect Fistula Occlusion and Pre-surgical Wire Insertion.
10.3348/jkrs.1995.33.2.223
- Author:
Yong Hoon KIM
;
Gham HUR
;
Jung Wook SEO
;
Joung Sook KIM
;
Young Tae KWAK
;
Joung Joo WOO
- Publication Type:Original Article
- MeSH:
Adhesives;
Adult*;
Catheters;
Ethiodized Oil;
Fistula*;
Humans
- From:Journal of the Korean Radiological Society
1995;33(2):223-227
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To assess the role and efficacy of radiologic intervention in the adult patients with esophagobronchial fistula. MATERIALS AND METHODS: Radiologic intervertion was performed in 4 patients with esophagobronchial fistula. We tried direct occlusion of fistula tract by glue(histoacylate 0.4cc + lipiodol 0.3cc) and coil in 2 patients and performed presurgical wire insertion by using 8F curved catheter via esophageal opening of fistula tract. The latter procedure was carled out to detect the fistula tract easily at operation. RESULTS: Direct occlusions of fistula tract by glue and coil were performed only to fail in 2 patients. Pre-surgical wire incertion by using 8F curred catheter under guidance of fluroscopy in 3 patients were helpful in detecting fistula tract at operation. CONCLUSION: Direct occlusion of the fistulous tract in esophagobronchial fistulas was ineffective. However, presur- gical wire insertion by using cured catheter under fluroscopy guidance is helpful to detect the fistula tract easily at operation.