title: Occlusion of a neo-esophageal-bronchial fistula using the Amplatzer Vascular Plug 2.
abstract: The appearance of a benign fistula between the airway and the gastrointestinal tract is a rare complication of esophagectomy. We report a patient with neo-esophago-bronchial fistula that developed 13 months after two-stage esophagectomy. Repeat thoracotomy was not deemed appropriate given the patient's chronic sepsis and malnutrition. After unsuccessful attempts at endoscopic closure, the fistula was successfully and permanently occluded under radiological guidance with an Amplatzer® Vascular Plug 2. The patient remained asymptomatic, with a measured weight gain, 12 months after the successful fistula occlusion.
authors.affiliation: Upper Gastrointestinal Unit, Ninewells Hospital, Dundee, Scotland, United Kingdom. jamie.young@nhs.net
authors.forename: Jamie A
authors.initials: JA
authors.lastname: Young
authors.forename: Sami M
authors.initials: SM
authors.lastname: Shimi
authors.forename: Afhsin
authors.initials: A
authors.lastname: Alijani
authors.forename: Pradeep V
authors.initials: PV
authors.lastname: Patil
authors.forename: Raj
authors.initials: R
authors.lastname: Bhat
mesh_terms: D000368:Aged; D001464:Barium; D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D004937:Esophageal Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D016629:Esophagectomy / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D011859:Radiography; D016896:Treatment Outcome
chemical_list: D001464:Barium