1. Endoscopic occlusion with silicone spigots for the closure of refractory esophago-bronchiole fistula after esophagectomy.
- Author
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Uesato M, Kono T, Akutsu Y, Murakami K, Kagaya A, Muto Y, Nakano A, Aikawa M, Tamachi T, Amagai H, Arasawa T, Muto Y, and Matsubara H
- Subjects
- Aged, Anastomotic Leak diagnostic imaging, Cough etiology, Cough therapy, Esophageal Fistula complications, Esophageal Fistula diagnostic imaging, Esophagoscopes, Esophagoscopy instrumentation, Esophagoscopy methods, Esophagus diagnostic imaging, Esophagus surgery, Humans, Male, Plastic Surgery Procedures adverse effects, Silicones, Stents, Tomography, X-Ray Computed, Anastomosis, Surgical adverse effects, Anastomotic Leak therapy, Bronchioles pathology, Esophageal Fistula therapy, Esophageal Neoplasms surgery, Esophagectomy adverse effects
- Abstract
A 65-year-old man with cT1bN0M0 stage I middle thoracic esophageal cancer underwent subtotal esophagectomy and gastric tube reconstruction through the posterior mediastinal route after preoperative carbon-ion radiotherapy and chemotherapy in a clinical trial. Anastomotic leakage occurred, but it spontaneously improved. At six months after the operation, he was rehospitalized with a cough and dysphagia. An esophago-bronchiole fistula and stenosis of the gastric tube were observed. He first underwent stent placement in the gastric tube. Two weeks later, the syringeal epithelium was burned by argon plasma coagulation after stent removal. Endoscopic occlusion was then performed for the fistula with two guidewire-assisted silicone spigots. Two weeks later, he was discharged on an oral diet, and he has not developed recurrence of the fistula or cancer for three years. This is the first report of endoscopic occlusion with a guidewire-assisted silicone spigot through the esophagus., Competing Interests: Conflict-of-interest statement: The authors state that they have no conflict of interest regarding this case report.
- Published
- 2017
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