Yang J, Zeng Y, Zhang J. Endoscopic submucosal dissection-based suture combined with medical adhesive for complicated tuberculous bronchoesophageal fistula: a case report.
J Int Med Res 2022;
50:3000605221080723. [PMID:
35225721 PMCID:
PMC8987363 DOI:
10.1177/03000605221080723]
[Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Tuberculous bronchoesophageal fistula is a rare complication of tuberculosis. Herein, we
report the case of a woman in her late 60s with a choking cough for more than 1 month.
Iohexol esophagography revealed a fistulous communication between the esophagus and the
right principal bronchus, and gastroscopy documented a fistulous orifice in the esophagus.
Endoscopic closure with metal clips failed, and other treatment options, such as extended
conservative treatment, covered self-expandable metal stents, and over-the-scope clips
were rejected by the patient. Therefore, a combined therapy, endoscopic submucosal
dissection-based suture combined with medical adhesive, was performed. Follow-up iohexol
esophagography and gastroscopy confirmed fistula closure. During 1 year of follow-up after
discharge, the bronchoesophageal fistula did not recur. Endoscopic submucosal
dissection-based suture combined with medical adhesive appears to be a practical and
feasible solution to complicated tuberculous bronchoesophageal fistula.
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