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Case Report

Journal of Digestive Cancer Research 2014; 2(1): 21-23

Published online June 1, 2014

© Korean Society of Gastrointestinal Cancer

기관 스텐트 삽입과 히스토아크릴 주입법으로 치료한 식도 누공 1례

A Case of Bronchoesophageal Fistula Treated by Bronchial Stent Insertion
and Endoscopic Histoacryl Injection

오동준·조주영
Dong Joon Oh, Joo Young Cho


순천향대학교 의과대학 소화기병센터
Digestive Disease Center, Soonchunhyang University Hospital, Seoul, Korea

Abstract

We report a bronchoesophageal fistula that treat with bronchial stent insertion and histoacryl injection. A 52-year-old
man with esophagel cancer was transferred for dysphagia management. At the CT scan that underwent on admission,
esophageal cancer with multiple lymph node metastasis was observed. At the gastroduodenoscopy and contrast study,
bronchoesophageal fistula was observed. Recurrent stent insertion treatment was failed. and then, By the broncoscopy,
covered stent was inserted to right bronchus. and By the endoscopy, fibrin glue and histoacryl was injected in the
fistula opening. At the contrast study, contrast leakage was not observed. and the patient was discharged. But, at
the 14 days after discharge, the patient was admitted to the emerency room because of cough symptom whenever
he eat food. The patient was diagnosed with aspiration pneumonia. we were determined that it is unable to oral intake.
The patient received a jejunostomy and antibiotic treatment for aspiration pneumonia. He was discharged after
symptomatic improvement.

KeywordsBronchial stent insertion Histoacryl injection Bronchoesophageal fistula

Article

Case Report

Journal of Digestive Cancer Research 2014; 2(1): 21-23

Published online June 1, 2014

Copyright © Korean Society of Gastrointestinal Cancer Research.

기관 스텐트 삽입과 히스토아크릴 주입법으로 치료한 식도 누공 1례

오동준·조주영

순천향대학교 의과대학 소화기병센터

A Case of Bronchoesophageal Fistula Treated by Bronchial Stent Insertion
and Endoscopic Histoacryl Injection

Dong Joon Oh, Joo Young Cho

Digestive Disease Center, Soonchunhyang University Hospital, Seoul, Korea

Abstract

We report a bronchoesophageal fistula that treat with bronchial stent insertion and histoacryl injection. A 52-year-old
man with esophagel cancer was transferred for dysphagia management. At the CT scan that underwent on admission,
esophageal cancer with multiple lymph node metastasis was observed. At the gastroduodenoscopy and contrast study,
bronchoesophageal fistula was observed. Recurrent stent insertion treatment was failed. and then, By the broncoscopy,
covered stent was inserted to right bronchus. and By the endoscopy, fibrin glue and histoacryl was injected in the
fistula opening. At the contrast study, contrast leakage was not observed. and the patient was discharged. But, at
the 14 days after discharge, the patient was admitted to the emerency room because of cough symptom whenever
he eat food. The patient was diagnosed with aspiration pneumonia. we were determined that it is unable to oral intake.
The patient received a jejunostomy and antibiotic treatment for aspiration pneumonia. He was discharged after
symptomatic improvement.

Keywords: Bronchial stent insertion, Histoacryl injection, Bronchoesophageal fistula

Journal Info

JDCR
Vol.12 No.1
April 20, 2024
eISSN : 2950-9505
pISSN : 2950-9394
Frequency: Triannual

open access

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Journal of Digestive Cancer Research

eISSN 2950-9505
pISSN 2950-9394

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  • 2024