Over-the-scope-clip treatment of gastrobronchial fistula following minimally invasive oesophagectomy: a novel approach

被引:4
|
作者
Kordzadeh, Ali [1 ]
Syllaios, Athanasios [1 ,2 ]
Davakis, Spyridon [1 ,2 ]
Lorenzi, Bruno [1 ]
Jayanthi, Naga V. [1 ]
Tang, Cheuk-Bong [1 ]
Charalabopoulos, Alexandros [1 ]
机构
[1] Mid Essex Hosp Serv NHS Trust, Broomfield Hosp, Reg Oesophagogastr Canc Ctr, Dept Upper Gastrointestinal Surg, Chelmsford, Essex, England
[2] Univ Athens, Laiko Gen Hosp, Dept Surg 1, Athens, Greece
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D O I
10.1093/jscr/rjz229
中图分类号
R61 [外科手术学];
学科分类号
摘要
Gastrobronchial fistulae (GBF) following minimally invasive oesophagectomy (MIO) is a rare entity, with an estimated incidence of 0.3-1.5% according to the published literature. It could present with persistent cough (Ohno's sign), chest pain, haemoptysis and recurrent pneumonia. Barium swallow examination remains the most sensitive investigation in 78% of the cases; the main stay of management is surgical and in some cases endoscopic (stent insertion). We report a rare case of a GBF 1 month after two-stage MIO for cancer of the gastro-oesophageal junction, which was successfully treated for the first time with an over-the-scope-clip.
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