Diagnosis and endoscopic treatment of esophago-bronchial fistula due to gastric heterotopy

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,...

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Published inWorld journal of gastrointestinal endoscopy Vol. 2; no. 4; pp. 138 - 142
Main Authors Katsanos, Konstantinos H, Christodoulou, Dimitrios K, Kamina, Sevasti, Maria, Kosmidou, Lambri, Evangelia, Theodorou, Stavroula, Tsampoulas, Konstantinos, Vasiliki, Mitsi, Tsianos, Epameinondas V
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Co., Limited 16.04.2010
Subjects
Case Report
Ectopic
Esophageal
Esophago-bronchial
Esophagus
fistula
Gastric
Heterotopic
heterotopy
mucosa
therapy
Gastric heterotopy
Heterotopic gastric mucosa
Esophageal fistula therapy
Esophago-bronchial fistula
Ectopic gastric mucosa
Esophagus
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Summary: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.
Bibliography:Konstantinos H Katsanos,Dimitrios K Christodoulou,Sevasti Kamina,Kosmidou Maria,Evangelia Lambri,Stavroula Theodorou,Konstantinos Tsampoulas,Mitsi Vasiliki,Epameinondas V Tsianos,Department of Internal Medicine and Hepato-Gastroenterology Unit,University Hospital of Ioannina,Ioannina 45110,Greece;Department of Pathology,University Hospital of Ioannina,Ioannina 45110,Greece;Department of Radiology,University Hospital of Ioannina,Ioannina 45110,Greece
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Author contributions: Katsanos KH and Christodoulou DK drafted the article; Kamina S, Lambri E, Vasiliki M, Theodorou S, Tsampoulas K and Maria K performed data analysis and interpretation; Tsianos EV designed the study, revised the paper critically for important intellectual content and approved the final version.
Correspondence to: Epameinondas V Tsianos, MD, PhD, AGAF, Professor of Internal Medicine, Department of Internal Medicine, Medical School, University of Ioannina, Leoforos Stavrou Niarxou, Ioannina 45110, Greece. etsianos@uoi.gr
Telephone: +30-26510-97501 Fax: +30-26510-97016
ISSN:1948-5190
1948-5190
DOI:10.4253/wjge.v2.i4.138