Embolization Coils and Fibrin Glue Closure of a Gastric Tube-Lung Fistula after Esophagectomy -A Case Report-

Masaru Shouji, Mitsuru Toyono, Masaaki Tamura*, Koutarou Nishi, Youkou Sotoda, Satoshi Gotou and Takashi Uchida

Department of Surgery, Nagai City General Hospital
Department of Internal Medicine, Yamagata Prefectural Kahoku Hospital*

We treated a 67-year-old man presenting with a gastric tube-lung fistula after anastomotic leakage, who had undergone thoracoscopic esophagectomy for thoracic esophageal cancer. The fistula was intractable for 8 months, but was successfully closed by endobronchoscopic application of fibrin glue after placement of embolization coils into the fistula. To our knowledge, no previous report describes the use of coils and fibrin glue in therapeutic intractable fistula closure.

Key words
embolization coils and fibrin glue, gastric tube-lung fistula after esophagectomy

Reprint requests
Masaru Shouji Department of Surgery, Nagai City Hospital 2-1 Yashiro-machi, Nagai-shi, 993-8602 JAPAN

Accepted
March 22, 2000

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