Clinical application research of a novel gastrointestinal occluder device for endoscopic closure of gastrobronchial fistula (with video)
10.3760/cma.j.cn321463-20210110-00023
- VernacularTitle:新型消化道瘘封堵器在胸腔胃气管瘘中的临床应用初探(含视频)
- Author:
Lurong LI
1
;
Jiwang WANG
;
Chang ZHU
;
Huaiming SANG
;
Yun WANG
;
Weifeng ZHANG
;
Junlan LI
;
Guoxin ZHANG
Author Information
1. 南京医科大学第一附属医院消化内科 210029
- Keywords:
Digestive system fistula;
Gastrobronchial fistula;
Gastrointestinal occluder device;
Endoscopic therapy
- From:
Chinese Journal of Digestive Endoscopy
2021;38(11):921-924
- CountryChina
- Language:Chinese
-
Abstract:
To evaluate the therapeutic effectiveness and safety of a novel gastrointestinal occluder device for gastrobronchial fistula. Data of 5 patients diagnosed as having gastrobronchial fistula who received treatment by a novel gastrointestinal occluder device at the First Affiliated Hospital of Nanjing Medical University from July to August 2020 were retrospectively analyzed. The total operation time, occluding time, intraoperative and postoperative complications, postoperative hospital stay and patients′ satisfaction were reviewed. Regular follow-up was conducted, and the short-term curative effect of occluding was evaluated 1 month after operation.All patients were males with age of 58-69 years. The course of fistula ranged 3-16 months and the diameter ranged 0.3-1.0 cm. All 5 patients achieved technical success with operation time of 38-88 minutes and occluding time of 8-24 minutes. The postoperative hospital stay ranged 3-5 days and the patients′ satisfaction score was 10. No severe complications occurred during or after operation. One month after endoscopic therapy, fistula was completely occluded in 4 patients. One patient died due to severe pulmonary infection and multiple organ failure although the bucking symptom after drinking and eating recovered before. Endoscopic closure of gastrointestinal fistula by means of the novel gastrointestinal occluder device is safe and effective.
