Upper Gastrointestinal Unit, Ninewells Hospital, Dundee, Scotland, United Kingdom.
Diagn Interv Radiol. 2013 May-Jun;19(3):259-62. doi: 10.5152/dir.2013.026.
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.
气道和胃肠道之间出现良性瘘管是食管切除术的罕见并发症。我们报告了一例两阶段食管切除术后 13 个月发生的新食管-支气管瘘患者。鉴于患者慢性败血症和营养不良，重复开胸手术被认为不合适。在尝试内镜闭合失败后，在放射学引导下使用 Amplatzer® Vascular Plug 2 成功且永久性地闭塞瘘管。成功闭塞瘘管 12 个月后，患者无症状，体重增加。
