Current Thoracic Surgery 2021 , Vol 6 , Issue 2
Late term broncho-eosophageal fistula and endoscopic treatment: a case report
Muammer Cumhur Sivrikoz1,Erhan Duruceylan1
1Department of Thoracic Surgery, Eskisehir Osmangazi University, School of Medicine, Eskişehir, Turkey DOI : 10.26663/cts.2021.0014 Viewed : 325 - Downloaded : 145 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