Katsanos Konstantinos H, Christodoulou Dimitrios K, Kamina Sevasti, Maria Kosmidou, Lambri Evangelia, Theodorou Stavroula, Tsampoulas Konstantinos, Vasiliki Mitsi, Tsianos Epameinondas V
Konstantinos H Katsanos, Dimitrios K Christodoulou, Kosmidou Maria, Epameinondas V Tsianos, 1st Department of Internal Medicine and Hepato-Gastroenterology Unit, University Hospital of Ioannina, Ioannina 45110, Greece.
World J Gastrointest Endosc. 2010 Apr 16;2(4):138-42. doi: 10.4253/wjge.v2.i4.138.
Heterotopic gastric mucosa patches are congenital gastrointestinal abnormalities and have been reported to occur anywhere along the gastrointestinal tract from mouth to anus. Complications of heterotopic gastric mucosa include dysphagia, upper gastrointestinal bleeding, upper esophageal ring stricture, adenocarcinoma and fistula formation. In this case report we describe the diagnosis and treatment of the first case of esophago-bronchial fistula due to heterotopic gastric mucosa in mid esophagus. A 40-year old former professional soccer player was referred to our department for treatment of an esophago-bronchial fistula. Microscopic examination of the biopsies taken from the esophageal fistula revealed the presence of gastric heterotopic mucosa. We decided to do a non-surgical therapeutic endoscopic procedure. A sclerotherapy catheter was inserted through which 1 mL of ready to use synthetic surgical glue was applied in the fistula and it closed the fistula opening with excellent results.
异位胃黏膜斑是先天性胃肠道异常，据报道可发生于从口腔到肛门的胃肠道任何部位。异位胃黏膜的并发症包括吞咽困难、上消化道出血、食管上段环状狭窄、腺癌和瘘管形成。在本病例报告中，我们描述了首例因食管中段异位胃黏膜导致的食管支气管瘘的诊断和治疗。一名40岁的前职业足球运动员因食管支气管瘘被转诊至我科。对取自食管瘘的活检组织进行显微镜检查发现存在胃异位黏膜。我们决定进行非手术治疗性内镜操作。插入硬化治疗导管，通过该导管将1毫升即用型合成手术胶水注入瘘管，瘘管开口闭合，效果极佳。
