Skip to main content
SpringerLink
Log in

Successful tubes treatment of esophageal fistula

  • Published:
Journal of Zhejiang University SCIENCE B Aims and scope Submit manuscript

Abstract

Aim

To discuss the merits of “tubes treatment” for esophageal fistula (EF).

Methods

A 66-year-old female who suffered from a bronchoesophageal and esophagothoratic fistula underwent a successful “three tubes treatment” (close chest drainage, negative pressure suction at the leak, and nasojejunal feeding tube), combination of antibiotics, antacid drugs and nutritional support. Another 55-year-old male patient developed an esophagopleural fistula (EPF) after esophageal carcinoma operation. He too was treated conservatively with the three tubes strategy as mentioned above towards a favorable outcome.

Results

The two patients recovered with the tubes treatment, felt well and became able to eat and drink, presenting no complaint.

Conclusion

Tubes treatment is an effective basic way for EF. It may be an alternative treatment option.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Adler, D., McAfee, M., Gostout, C., 2001. Closure of an esophagopleural fistula by using fistula tractcoagulation and an endoscopic suturing device. Gastrointestinal Endoscopy, 54(5):652–653. [doi:10.1067/mge.2001.118650]

    Article  PubMed  CAS  Google Scholar 

  • Agosti, J., Nojek, C., Figuera, D., 1978. Treatment of acquired chronic esophagopleural fistula by endoscopic cauterization. Chest, 73(1):100–101.

    PubMed  CAS  Google Scholar 

  • Alberti, L.E., Alberti-Flor, J.J., 2005. Endoclip-assisted closure of infected gastrocutaneous fistulas: report of two cases. Endoscopy, 37(4):403. [doi:10.1055/s-2005-861123]

    Article  PubMed  CAS  Google Scholar 

  • Asaoka, M., Imaizumi, M., Kajita, M., Uchida, T., Niimi, T., Abe, T., 1988. One stage repair for an oesphageal fistula after pneumonectomy using an omental flap. Thorax, 43(1):943–944.

    PubMed  CAS  Google Scholar 

  • Baltayiannis, N., Magoulas, D., Bolanos, N., Anagnostopoulos, D., Kaya, A., Kontogiannopoulos, C.H., Nicolouzos, S., Georgiannakis, E., Kastrinaki, K., Kayiani, E., Chatzimichalis, A., 2006. Expandable wallstents for treatment of tracheoesophageal fistulas of malignant origin. J. BUON, 11(4):457–462.

    PubMed  CAS  Google Scholar 

  • Castriconi, M., Romagnuolo, G., Giuliano, M.E., Bartone, G., Chianese, F., Maglio, M.N., Molino, C., Festa, P., Zito, E.S., de Sena, G., 2005. Conservative treatment of the digestive fistulas: personal experience. Ann. Ital. Chir., 76(6):523–527.

    PubMed  Google Scholar 

  • Chappell, V.L., Heck, H.A. Jr, 2007. Repair of large, iatrogenic, tracheo-esophageal fistulae. Ann. Thorac. Surg., 83(2):705–706. [doi:10.1016/j.athoracsur.2006.04.073]

    Article  PubMed  Google Scholar 

  • Chryssostalis, A., Rosa, I., Pileire, G., Ozenne, V., Chousterman, M., Hagege, H., 2005. Closure of refractory gastrocutaneous fistula using endoclipping. Endoscopy, 37(9):924. [doi:10.1055/s-2005-870334]

    Article  PubMed  CAS  Google Scholar 

  • Dosios, T., Karavokyros, I., Felekouras, E., Sigala, F., Pikoulis, E., Spyrakos, S., Papalambros, E., 2005. Presternal gastric bypass for late postpneumonectomy esophagopleural fistula. Dis. Esophagus, 18(3):202–203. [doi:10.1111/j.1442-2050.2005.00472.x]

    Article  PubMed  CAS  Google Scholar 

  • Eng, J., Sabaratham, S., Mearns, A.J., 1994. Late esophageal fistula after pneumonectomy. Ann. Thorac. Surg., 57(5):1337–1338.

    Article  PubMed  CAS  Google Scholar 

  • Evans, J.P., 1972. Postpneumonectomy oesophageal fistula. Thorax, 27(6):674–677.

    PubMed  CAS  Google Scholar 

  • Fernando, H.C., Benfield, J.R., 1996. Surgical management and treatment of esophageal fistula. Surg. Clin. North Am., 76(5):1123–1134. [doi:10.1016/S0039-6109(05)70501-6]

    Article  PubMed  CAS  Google Scholar 

  • Freeman, R.K., Ascioti, A.J., Wozniak, T.C., 2007. Postoperative esophageal leak management with the polyflex esophageal stent. J. Thorac. Cardiovasc. Surg., 133(2):333–338. [doi:10.1016/j.jtcvs.2006.10.008]

    Article  PubMed  Google Scholar 

  • Garand, S.A., Kareti, L.R., Dumont, T.M., Seip, C., 2006. Thoracoscopic repair of tracheoesophageal fistula in a septuagenarian. Ann. Thorac. Surg., 81(5):1899–1901. [doi:10.1016/j.athoracsur.2005.05.073]

    Article  PubMed  Google Scholar 

  • Gutiérrez San Román, C., Barrios, J.E., Lluna, J., Ibañez, V., Hernández, E., Ayuso, L., Valdes, E., Roca, A., Marco, A., García-Sala, C., 2006. Long-term assessment of the treatment of recurrent tracheoesophageal fistula with fibrin glue associated with diathermy. J. Pediatr. Surg., 41(11):1870–1873. [doi:10.1016/j.jpedsurg.2006.06.014]

    Article  PubMed  Google Scholar 

  • Harries, K., Masoud, A., Brown, T.H., Richards, D.G., 2004. Endoscopic placement of fibrin sealant as a treatment for a long-standing Boerhaave’s fistula. Dis. Esophagus, 17(4):348–350. [doi:10.1111/j.1442-2050.2004.00421.x]

    Article  PubMed  CAS  Google Scholar 

  • Hu, J.L., Li, P., Yang, H.P., Liu, G., Xiong, W., Zhou, X.D., Li, X.J., Huang, Y., Shen, Y.J., Zhou, H.M., 2004. Endoscopic airway stenting for tracheobronchial stenosis and tracheoesophageal fistula. Disan Junyi Daxue Xuebao, 26(6):543–545 (in Chinese).

    Google Scholar 

  • Kishi, K., Nakao, T., Goto, H., Kimura, M., Sonomura, T., Yamanaka, N., Nanjo, K., Sato, M., 2005. A fast placement technique for covered tracheobronchial stents in patients with complicated esophagorespiratory fistulas. Cardiovasc. Intervent. Radiol., 28(4):485–489. [doi:10.1007/s00270-003-0203-x]

    Article  PubMed  Google Scholar 

  • Marjolein, H., Peter, D.S., 2005. Endoscopic Palliation of Malignant Dysphagia and Esophageal Fistulas. In: Gregory, G.G., Michael, L.K., Norton, I., Christopher, J.G. (Eds.), Clinical Gastrointestinal Endoscopy. Elsevier Inc., Elsevier Saunders, p.436.

  • Masard, G., Ducrocq, X., Hentz, J.G., Kessler, R., Dumont, P., Wihlm, J.M., Morand, G., 1994. Esophapleural fistula: an early and long term complication after pneumonectomy. Ann. Thorac. Surg., 58(5):1437–1440.

    Article  Google Scholar 

  • Metz, R., Kimmings, A.N., Verhagen, H.J., Rinkes, I.H., van Hillegersberg, R., 2006. Aortoesophageal fistula successfully treated by endovascular stent-graft. Ann. Thorac. Surg., 82(3):1117–1119. [doi:10.1016/j.athoracsur.2006.01.091]

    Article  PubMed  Google Scholar 

  • Montesano, M., Crucitti, P., Pandolfi, M., Zanca, A., Gabbrielli, A., Coppola, R., 2006. Sems (self expanding metal stents) in a patient with esophagogastric cancer and esophagorespiratory fistula (ERF). Rays, 31(1):21–24.

    PubMed  Google Scholar 

  • Nguyen, T., Zainabadi, K., Bui, T., Emil, S., Gelfand, D., Nguyen, N., 2006. Thoracoscopic repair of esophageal atresia and tracheoesophageal fistula: lessons learned. J. Laparoendosc. Adv. Surg. Tech. A, 16(2):174–178. [doi:10.1089/lap.2006.16.174]

    Article  PubMed  Google Scholar 

  • Nozoe, T., Kitamura, M., Adachi, Y., Funahashi, S., Yoh, R., Iso, Y., Matsumata, T., Sugimachi, K., 1998. Successful conservative treatment for esophageal perforation by a fish bone associated with mediastinitis. Hepatogastroenterology, 45(24):2190–2192.

    PubMed  CAS  Google Scholar 

  • Okita, R., Mukaida, H., Takiyama, W., Oheda, M., Uchida, N., Ishihara, H., 2005. Successful surgical treatment of aortoesophageal fistula after esophagectomy. Ann. Thorac. Surg., 79(3):1059–1061. [doi:10.1016/j.athoracsur.2003.09.116]

    Article  PubMed  Google Scholar 

  • Rabenstein, T., Boosfeld, C., Henrich, R., Ell, C., 2006. First use of ventricular septal defect occlusion device for endoscopic closure of an esophagorespiratory fistula using bronchoscopy and esophagoscopy. Chest, 130(3):906–909. [doi:10.1378/chest.130.3.906]

    Article  PubMed  Google Scholar 

  • Raymer, G.S., Sadana, A., Campbell, D.B., Rowe, W.A., 2003. Endoscopic clip application as an adjunct to closure of mature esophageal perforation with fistulae. Clin. Gastroenterol. Hepatol., 1(1):44–50. [doi:10.1053/jcgh.2003.50007]

    Article  PubMed  Google Scholar 

  • Rieder, F., Hamer, O., Gelbmann, C., Scholmerich, J., Gross, V., Feuerbach, S., Herfarth, H., Rogler, G., 2006. Crohn’s disease of the esophagus: treatment of an esophagobronchial fistula with the novel liquid embolic polymer “onyx”. Z. Gastroenterol., 44(7):599–602. [doi:10.1055/s-2006-926644]

    Article  PubMed  CAS  Google Scholar 

  • Sano, T., Naruke, T., Watanabe, H., Kondo, H., Goya, T., Tsuchiya, R., Suemasu, K., 1989. An esophagobronchopleural fistula successfully treated by a surgical procedure combined with conservative therapy after resection for lung cancer. Jpn. J. Clin. Oncol., 19(4):402–408.

    PubMed  CAS  Google Scholar 

  • Sarli, D., Bona, D., Abraham, M., Bonavina, L., 2006. Conservative and surgical treatment of esophago-gastric anastomotic leaks. Ann. Ital. Chir., 77(5):391–396.

    PubMed  Google Scholar 

  • Sethi, G.K., Takato, T., 1978. Esophageal fistula following pulmonary resection. Ann. Thorac. Surg., 25(1):74–81.

    Article  PubMed  CAS  Google Scholar 

  • Shichinohe, T., Okushiba, S., Morikawa, T., Kitashiro, S., Manase, H., Kawarada, Y., Sekido, M., Yamamoto, Y., Kondo, S., 2006. Salvage of a massive esophago-tracheal fistula resulting from a stenting treatment. Dis. Esophagus, 19(4):299–304. [doi:10.1111/j.1442-2050.2006.00582.x]

    Article  PubMed  CAS  Google Scholar 

  • Siddiqui, A.A., Kowalski, T., Cohen, S., 2007. Closure of a nonhealing gastrocutaneous fistula using an endoscopic clip. South Med. J., 100(1):75–76.

    PubMed  Google Scholar 

  • Solt, J., Boros, S., Zoltan, I., Horvath, O.P., Andics, L., Bajor, J., 1998. Malignant esophageal-respiratory fistula and esophageal stenosis treated with a Gianturco-Z-stent. Orv. Hetil., 139(41):2447–2453.

    PubMed  CAS  Google Scholar 

  • Talbot, M.L., Hugh, T.B., Spratt, P., 2007. Gastric antral patch oesophagoplasty for iatrogenic tracheo-oesophageal fistula. ANZ J. Surg., 77(4):295–297. [doi:10.1111/j.1445-2197.2007.04036.x]

    Article  PubMed  Google Scholar 

  • Teitelbaum, J.E., Gorcey, S.A., Fox, V.L., 2005. Combined endoscopic cautery and clip closure of chronic gastrocutaneous fistulas. Gastrointest. Endosc., 62(3):432–435. [doi:10.1016/j.gie.2005.04.047]

    Article  PubMed  Google Scholar 

  • Truong, S., Bohm, G., Klinge, U., Stumpf, M., Schumpelick, V., 2004. Results after endoscopic treatment of postoperative upper gastrointestinal fistulas and leaks using combined Vicryl plug and fibrin glue. Surg. Endosc., 18(7):1105–1108. [doi:10.1007/s00464-003-8286-7]

    Article  PubMed  CAS  Google Scholar 

  • Zueger, O., Bolliger, C.T., Quadri, F., Lohri, A., Soler, M., Izbicki, G., Perruchoud, A.P., 1997. Conservative management of a broncho-oesophageal fistula in a patient with non-Hodgkin’s lymphoma. Respiration, 64(5):388–391.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Gastroenterology, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310003, China

    Zhou Ning, Chen Wei-xing, Li You-ming, Xiang Zhun, Gao Ping & Fang Ying

Authors
  1. Zhou Ning
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Chen Wei-xing
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Li You-ming
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Xiang Zhun
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Gao Ping
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Fang Ying
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Chen Wei-xing.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zhou, N., Chen, Wx., Li, Ym. et al. Successful tubes treatment of esophageal fistula. J. Zhejiang Univ. - Sci. B 8, 709–714 (2007). https://doi.org/10.1631/jzus.2007.B0709

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1631/jzus.2007.B0709

Key words

CLC number

Search

Navigation