Department of General Thoracic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.
Respiration. 2017;94(4):375-379. doi: 10.1159/000479165. Epub 2017 Aug 17.
Anastomotic failure of a gastric tube inserted for reconstruction following esophagectomy, which is relatively rare, causes pleural infection and persistent pleural irritation, leading to communication with the pulmonary parenchyma. Although several interventions have been reported to treat such broncho-gastric tube fistulas, refractory cases remain. We herein report the successful treatment by endoscopic bronchial occlusion with an endobronchial Watanabe spigot in 2 patients who suffered from the above complication.
胃管吻合口失败在食管重建术后较为罕见,但会导致胸腔感染和持续性胸腔刺激,进而与肺实质相通。尽管已有多种介入治疗方法报道用于治疗此类支气管-胃管瘘,但仍存在难治性病例。本文报告了 2 例因上述并发症而接受支气管腔内 Watanabe 塞子内镜封堵治疗的成功案例。