title: Diagnosis and endoscopic treatment of esophago-bronchial fistula due to gastric heterotopy.
abstract: Heterotopic gastric mucosa patches are congenital gastrointestinal abnormalities and have been reported to occur anywhere along the gastrointestinal tract from mouth to anus. Complications of heterotopic gastric mucosa include dysphagia, upper gastrointestinal bleeding, upper esophageal ring stricture, adenocarcinoma and fistula formation. In this case report we describe the diagnosis and treatment of the first case of esophago-bronchial fistula due to heterotopic gastric mucosa in mid esophagus. A 40-year old former professional soccer player was referred to our department for treatment of an esophago-bronchial fistula. Microscopic examination of the biopsies taken from the esophageal fistula revealed the presence of gastric heterotopic mucosa. We decided to do a non-surgical therapeutic endoscopic procedure. A sclerotherapy catheter was inserted through which 1 mL of ready to use synthetic surgical glue was applied in the fistula and it closed the fistula opening with excellent results.
authors.affiliation: Konstantinos H Katsanos, Dimitrios K Christodoulou, Kosmidou Maria, Epameinondas V Tsianos, 1st Department of Internal Medicine and Hepato-Gastroenterology Unit, University Hospital of Ioannina, Ioannina 45110, Greece.
authors.forename: Konstantinos H
authors.initials: KH
authors.lastname: Katsanos
authors.forename: Dimitrios K
authors.initials: DK
authors.lastname: Christodoulou
authors.forename: Sevasti
authors.initials: S
authors.lastname: Kamina
authors.forename: Kosmidou
authors.initials: K
authors.lastname: Maria
authors.forename: Evangelia
authors.initials: E
authors.lastname: Lambri
authors.forename: Stavroula
authors.initials: S
authors.lastname: Theodorou
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Tsampoulas
authors.forename: Mitsi
authors.initials: M
authors.lastname: Vasiliki
authors.forename: Epameinondas V
authors.initials: EV
authors.lastname: Tsianos