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

• Published in: World 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
• Language: English
• 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
• DOI: 10.4253/wjge.v2.i4.138
• ISSN: 1948-5190

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.