Open Access
Diagnosis and endoscopic treatment of esophago-bronchial fistula due to gastric heterotopy
Author(s) -
Κωνσταντίνος Κατσάνος,
Dimitrios Christodoulou,
Sevasti Kamina,
K. Maria,
Evangelia Lambri,
Stavroula J. Theodorou,
Konstantinos Tsampoulas,
Mitsi Vasiliki,
Epameidas V. Tsianos
Publication year - 2010
Publication title -
world journal of gastrointestinal endoscopy
Language(s) - English
Resource type - Journals
ISSN - 1948-5190
DOI - 10.4253/wjge.v2.i4.138
Subject(s) - medicine , fistula , surgery , esophagus , dysphagia , argon plasma coagulation , endoscopy
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.