CASE REPORT : Open Access ; Treatment of Traumatic Esophagopleural Fistula Using the Over-the-Scope-Clip System

CASE REPORT : Open Access ; Treatment of Traumatic Esophagopleural Fistula Using the Over-the-Scope-Clip System

Esophagopleural fistula (EPF) is a rare condition that is usually accompanied by severe infection and life-threatening morbidity. Here, we report the successful treatment of an EPF by closing an esophageal orifice using the over-the-scope-clip (OTSC) system without postprocedural complications. A 41...

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Veröffentlicht in:Clinical endoscopy 2015-09, Vol.48 (5), p.440
Hauptverfasser: Ji Hyoung Kim, Jong-jae Park, Il Woo Jung, Sang Hoon Kim, Hee Dong Kim, Jung Wan Choe, Moon Kyung Joo, Hyun Gu Kim
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Esophagopleural fistula
Negative-pressure wound therapy
Over-the-scope-clip
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container_end_page
container_issue 5
container_start_page 440
container_title Clinical endoscopy
container_volume 48
creator Ji Hyoung Kim
Jong-jae Park
Il Woo Jung
Sang Hoon Kim
Hee Dong Kim
Jung Wan Choe
Moon Kyung Joo
Hyun Gu Kim
description Esophagopleural fistula (EPF) is a rare condition that is usually accompanied by severe infection and life-threatening morbidity. Here, we report the successful treatment of an EPF by closing an esophageal orifice using the over-the-scope-clip (OTSC) system without postprocedural complications. A 41-year-old man had serious thoracic and abdominal trauma due to a traffic accident. Computed tomography revealed findings suggestive of esophageal rupture due to Boerhaave syndrome. An emergent explorative operation was performed for primary repair with the insertion of a vacuum-assisted closure device. A postoperative upper gastrointestinal series revealed an EPF tract connecting the left pleural space and distal esophagus. We performed an endoscopic procedure using the “traumatic-type” OTSC to seal the EPF, and the esophageal orifice was completely healed 2 weeks postoperatively. The OTSC system might represent a safe and feasible modality for the treatment of EPF. Clin Endosc 2015;48:440-443
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subjects Esophagopleural fistula
Negative-pressure wound therapy
Over-the-scope-clip
title CASE REPORT : Open Access ; Treatment of Traumatic Esophagopleural Fistula Using the Over-the-Scope-Clip System
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