Esophagobronchial fistula closure using a novel endoscopic over-the-scope-clip.
We report on a patient who presented with a symptomatic esophagobronchial fistula arising from an esophageal diverticulum with recurrent pulmonary infections despite prophylactic antibiotics. She was not an optimal candidate for esophageal stenting, bronchial stenting, or surgery and had refused a gastrostomy tube placement. We performed a successful endoscopic fistula closure using a novel endoscopic over-the-scope-clip device providing an effective seal of the fistula with durable resolution of symptoms.
Department of Gastroenterology and Nutrition Service, Memorial Sloan-Kettering Cancer Center, New York, New York 10065, USA. zolotare@mskcc.org
Eugene
E
Zolotarevsky
Yong
Y
Kwon
Manjit
M
Bains
Mark
M
Schattner
D000369:Aged, 80 and over; D001983:Bronchial Fistula / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001999:Bronchoscopy / Q000379:methods; D004936:Diverticulum, Esophageal / Q000175:diagnosis / Q000601:surgery; D004724:Endoscopy / Q000379:methods*; D016145:Endoscopy, Digestive System / Q000379:methods*; D004937:Esophageal Fistula / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D004945:Esophagoscopy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D013902:Radiography, Thoracic / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D013525:Surgical Instruments; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome