ID: 3520803 SELF-EXPANDABLE METAL STENTING FOR ESOPHAGEAL FISTULA CLOSURE: INCREASING THE ODDS OF SUCCESS.

Abstract Background and study aims Esophageal fistulas after esophagectomy are associated with high mortality and poor quality of life. They are sometimes intractable to conservative management and surgery that increases mortality. Few studies have assessed use of polyglycolic acid (PGA) sheets with fibrin glue for esophageal fistulas. We investigated the safety of using PGA sheets with fibrin glue for esophageal fistulas after esophagectomy. Patients and methods This was a single-center prospective pilot study. Patients who had refractory esophageal fistulas after esophagectomy were included. PGA sheets were filled in the fistula using biopsy forceps. Fibrin glue was applied to the PGA sheets. We repeated the procedure 1 week later. The outcome measures were the incidence of adverse events (AEs) and closure of the fistula. Results Five patients were assessed. No adverse events were observed. The esophageal fistula was closed with the application of PGA sheets four times in 40 % (2/5) of the cases. Conclusions PGA sheets with fibrin glue were safe for esophageal fistula closure after esophagectomy and do not involve the risk of AEs.

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Large Esophageal Fistula Closure Using an Over-the-Scope Clip: Two Unique Cases

The Annals of Thoracic Surgery ◽

10.1016/j.athoracsur.2013.04.125 ◽

2013 ◽

Vol 96 (6) ◽

pp. 2214-2216 ◽

Cited By ~ 3

Author(s):

Johnathan Zhang ◽

Jason B. Samarasena ◽

Jeffrey Milliken ◽

John G. Lee

Keyword(s):

Esophageal Fistula ◽

Fistula Closure ◽

Over The Scope Clip

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Post-operative clinically relevant tracheomalacia after surgery for congenital tracheo-esophageal fistula: the role of minimal intra-operative dissection and timing for aortopexy

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-2005-862174 ◽

2005 ◽

Vol 53 (S 01) ◽

Author(s):

A Dodge-Khatami ◽

D Deanovic ◽

P Sacher ◽

A Gerber ◽

M Genoni ◽

...

Keyword(s):

Esophageal Fistula

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A Giant Right Coronary Artery of Diffuse Ectasia Induced by a Right Ventricular Fistula

The Heart Surgery Forum ◽

10.1532/hsf.1349 ◽

2015 ◽

Vol 18 (6) ◽

pp. 253

Author(s):

Renyuan Li ◽

Yiming Ni ◽

Peng Teng ◽

Weidong Li

Keyword(s):

Coronary Artery ◽

Right Coronary Artery ◽

Artery Bypass ◽

Coronary Artery Fistula ◽

Rare Entity ◽

Fistula Closure ◽

Unique Case ◽

Coronary Ectasia ◽

The Right ◽

Giant Size

<p>Coronary artery fistula (CAF) is a rare entity. Sometimes it may associate with mild diffuse or segmental coronary ectasia. CAF with giant coronary artery is exceptionally rare. We present a unique case of a 49-year-old female patient with a giant right coronary artery of diffuse ectasia coexisting with a fistula draining into the right ventricle. To our best knowledge, CAF with diffuse coronary ectasia of such giant size has never been reported. The patient was treated successfully by resection of the dilated right coronary artery, fistula closure, and coronary artery bypass grafting.</p>

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