Journal
JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
Volume 50, Issue 2, Pages -Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/03000605221080723
Keywords
Bronchoesophageal fistula; tuberculosis; endoscopy; suture; medical adhesive; endoscopic submucosal dissection
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This article reports a case of tuberculous bronchoesophageal fistula in a woman in her late 60s. A combined therapy of endoscopic submucosal dissection-based suture combined with medical adhesive was performed to successfully close the fistulous orifice, and no recurrence was observed during the follow-up period.
Tuberculous bronchoesophageal fistula is a rare complication of tuberculosis. Herein, we report the case of a woman in her late 60s with a choking cough for more than 1 month. Iohexol esophagography revealed a fistulous communication between the esophagus and the right principal bronchus, and gastroscopy documented a fistulous orifice in the esophagus. Endoscopic closure with metal clips failed, and other treatment options, such as extended conservative treatment, covered self-expandable metal stents, and over-the-scope clips were rejected by the patient. Therefore, a combined therapy, endoscopic submucosal dissection-based suture combined with medical adhesive, was performed. Follow-up iohexol esophagography and gastroscopy confirmed fistula closure. During 1 year of follow-up after discharge, the bronchoesophageal fistula did not recur. Endoscopic submucosal dissection-based suture combined with medical adhesive appears to be a practical and feasible solution to complicated tuberculous bronchoesophageal fistula.
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