Jing Li1, Xinglin Gao2, Jingjing Chen3, Miaochan Lao4, Shushui Wang5, Guohong Zeng6. 1. Respiratory Department, Guangdong Geriatrics Institute and Guangdong General Hospital, Guangdong, 510080, China. Electronic address: 472522080@qq.com. 2. Respiratory Department, Guangdong Geriatrics Institute and Guangdong General Hospital, Guangdong, 510080, China. Electronic address: xinglingao@hotmail.com. 3. Respiratory Department, Guangdong Geriatrics Institute and Guangdong General Hospital, Guangdong, 510080, China. Electronic address: 1136487305@qq.com. 4. Respiratory Department, Guangdong Academy of Medical Sciences and Guangdong General Hospital, Guangdong, 510080, China. Electronic address: 278497270@qq.com. 5. Dept. of Pediatric Cardiology, Guangdong Cardiovascular Institute and Guangdong General Hospital, Guangdong, 510080, China. Electronic address: wsscome@126.com. 6. Dept. of Pediatric Cardiology, Guangdong Cardiovascular Institute and Guangdong General Hospital, Guangdong, 510080, China. Electronic address: zenggh2013@126.com.
Abstract
OBJECTIVES: To report an endoscopic treatment for inoperable oesophagorespiratory fistulas (ORFs). PATIENTS AND METHODS: Six patients with inoperable acquired tracheobronchial-oesophageal fistulas (four males and two females; mean age, 70.2 ± 10.28 years) were included. Cardiac septal defect occluders or vascular plugs were implanted through a flexible bronchoscope to close the ORFs. Monthly follow-ups were done for 16 months. RESULTS: All fistulas were successfully closed immediately after the procedure. The severe aspirated pneumonia was controlled in 7-10 days. The two mechanically ventilated patients were weaned successfully from the ventilator, and the general condition of patients improved rapidly. However, the fistulas recanalised in four patients because of the cutting effect of the edge of the occluders 1-12 months after the procedure. Other reasons, such as compression of the tracheal intubation balloon and repeated inflammation of the oesophageal diverticulum, may also have contributed to the recanalisation. CONCLUSIONS: Endoscopic closure of acquired ORFs with cardiac septal defect occluders or vascular plugs improve patients' general condition immediately after the procedure, but may result in recanalisation longterm. The occlusion might be considered an abridgement to surgery.
OBJECTIVES: To report an endoscopic treatment for inoperable oesophagorespiratory fistulas (ORFs). PATIENTS AND METHODS: Six patients with inoperable acquired tracheobronchial-oesophageal fistulas (four males and two females; mean age, 70.2 ± 10.28 years) were included. Cardiac septal defect occluders or vascular plugs were implanted through a flexible bronchoscope to close the ORFs. Monthly follow-ups were done for 16 months. RESULTS: All fistulas were successfully closed immediately after the procedure. The severe aspirated pneumonia was controlled in 7-10 days. The two mechanically ventilated patients were weaned successfully from the ventilator, and the general condition of patients improved rapidly. However, the fistulas recanalised in four patients because of the cutting effect of the edge of the occluders 1-12 months after the procedure. Other reasons, such as compression of the tracheal intubation balloon and repeated inflammation of the oesophageal diverticulum, may also have contributed to the recanalisation. CONCLUSIONS: Endoscopic closure of acquired ORFs with cardiac septal defect occluders or vascular plugs improve patients' general condition immediately after the procedure, but may result in recanalisation longterm. The occlusion might be considered an abridgement to surgery.