Current Thoracic Surgery
2021 , Vol 6 , Issue 2
Late term broncho-eosophageal fistula and endoscopic treatment: a case report
1Department of Thoracic Surgery, Eskisehir Osmangazi University, School of Medicine, Eskişehir, Turkey
DOI :
10.26663/cts.2021.0014
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Fistulas between the respiratory and digestive tract (trachea-esophageal, broncho-esophageal) can
be congenital or acquired. Acquired fistulas due to malignancy can occur by direct invasion of the
malignant tissue; or it may be a result of surgical treatment, chemotherapy or radiotherapy. Although
such fistulas occur during or shortly after treatment, it is unlikely that they will emerge long years
after treatment. We report a case of late term broncho-esophageal fistula and an endoscopic treatment
method in a patient who underwent left pneumonectomy for bronchial carcinoma. Treatment of the
patient was accomplished with bronchoscopic placement of polyglycolic acid patch with surgical tissue
glue into the fistula tract. Fistulas between trachea-bronchus and digestive tract should be kept in mind,
after surgical interventions of neighborhood structures. Bronchoscopic interventions may be a treatment
alternative in appropriate patients.
Keywords :
broncho-esophageal fistula, bronchoscopy, bronchial carcinoma, polyglycolic acid patch, surgical tissue glue