Occlusion of a neo-esophageal-bronchial fistula using the Amplatzer Vascular Plug 2

The appearance of a benign fistula between the airway and the gastrointestinal tract is a rare complication of esophagectomy. We report a patient with neo-esophago-bronchial fistula that developed 13 months after two-stage esophagectomy. Repeat thoracotomy was not deemed appropriate given the patien...

Full description

Bibliographic Details
Main Authors: Jamie A. Young, Sami M. Shimi, Afhsin Alijani, Pradeep V. Patil, Raj Bhat
Format: Article
Language:English
Published: Galenos Publishing House 2013-05-01
Series:Diagnostic and Interventional Radiology
Online Access: http://www.dirjournal.org/archives/archive-detail/article-preview/occlusion-of-a-neo-esophageal-bronchial-fistula-us/56710
Description
Summary:The appearance of a benign fistula between the airway and the gastrointestinal tract is a rare complication of esophagectomy. We report a patient with neo-esophago-bronchial fistula that developed 13 months after two-stage esophagectomy. Repeat thoracotomy was not deemed appropriate given the patient’s chronic sepsis and malnutrition. After unsuccessful attempts at endoscopic closure, the fistula was successfully and permanently occluded under radiological guidance with an Amplatzer® Vascular Plug 2. The patient remained asymptomatic, with a measured weight gain, 12 months after the successful fistula occlusion.
ISSN:1305-3825
1305-3612