Treatment of Traumatic Esophagopleural Fistula Using the Over-the-Scope-Clip System.
- Author:
Ji Hyoung KIM
1
;
Jong Jae PARK
;
Il Woo JUNG
;
Sang Hoon KIM
;
Hee Dong KIM
;
Jung Wan CHOE
;
Moon Kyung JOO
;
Hyun Gu KIM
Author Information
- Publication Type:Case Report
- Keywords: Esophagopleural fistula; Over-the-scope-clip; Negative-pressure wound therapy
- MeSH: Accidents, Traffic; Adult; Esophagus; Fistula*; Humans; Negative-Pressure Wound Therapy; Rupture
- From:Clinical Endoscopy 2015;48(5):440-443
- CountryRepublic of Korea
- Language:English
- 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.
