title: Esophagopulmonary fistula and left lung abscess after transoral incisionless fundoplication.
abstract: Endoscopic treatment of gastroesophageal reflux disease (GERD) is emerging as an alternative to open, laparoscopic, or robotic antireflux surgical procedures. Early transoral devices failed because of poor efficacy and serious adverse events. In recent trials the EsophyX device has demonstrated acceptable safety and a reasonable efficacy profile. We present the case of a woman who experienced a distal esophageal perforation and esophagopulmonary fistula after treatment for GERD with the EsophyX device. Although considered minimally invasive, endoscopic procedures for GERD treatment can have significant deleterious consequences, and early recognition of these complications is vital to limit associated morbidity.
authors.affiliation: Heart and Vascular Institute, Department of Thoracic and Cardiovascular Surgery and Vascular Surgery, Cleveland Clinic, Cleveland, Ohio 44195, USA.
authors.forename: Jessica M
authors.initials: JM
authors.lastname: Titus
authors.forename: David P
authors.initials: DP
authors.lastname: Mason
authors.forename: Daniel P
authors.initials: DP
authors.lastname: Raymond
authors.forename: Thomas W
authors.initials: TW
authors.lastname: Rice
authors.forename: Sudish C
authors.initials: SC
authors.lastname: Murthy
mesh_terms: D000328:Adult; D004937:Esophageal Fistula / Q000209:etiology*; D005260:Female; D018662:Fundoplication / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D005764:Gastroesophageal Reflux / Q000601:surgery; D006801:Humans; D008169:Lung Abscess / Q000209:etiology*; D008171:Lung Diseases / Q000209:etiology*; D009055:Mouth; D016156:Respiratory Tract Fistula / Q000209:etiology*
keywords: 8