A 48-year-old man developed sudden-onset haematemesis and melena after decompensated posthepatitic cirrhosis. Endoscopic variceal injectional sclerotherapy was emergently performed. However, the patient developed esophago-pleural fistula, empyema, and liver failure. He thus received symptomatic treatments and nasojejunal feedings, which failed to restore the nutrition as the gastroesophageal reflux exacerbated the hydrothorax. Percutaneous endoscopic gastro-jejunal (PEG-J) was therefore carefully performed for enteral nutrition support. The patient had recovered from the fistula at a six-month follow-up, which allowed the resumption of an oral diet. Our literature review revealed that PEG-J is a feasible approach to treating esophago-pleural fistula, a rare but lethal complication of endoscopic sclerotherapy.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11045370 | PMC |
| http://dx.doi.org/10.2169/internalmedicine.1961-23 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Successful retrosternal esophageal bypass with gastric transposition in the management of esophago-pleural fistula as a complication of Boerhaave syndrome.
Int J Surg Case Rep
October 2023
Department of Surgery, Teaching Hospital Jaffna, Sri Lanka.
Introduction And Importance: Boerhaave syndrome is a rare life-threatening condition that represents about 15 % of esophageal perforation and is associated with significant mortality. A subset of patients with effort rupture of the esophagus can present with esophago-pleural fistula. Management of esophago-pleural fistula remains a challenge due to the lack of high-quality evidence studies and the rarity of reported cases.
View Article and Find Full Text PDFManagement of an Esophago-pleural Fistula after Emergent Endoscopic Variceal Injectional Sclerotherapy: A Case Report And Literature Review.
Intern Med
April 2024
Department of Gastroenterology, The First Affiliated Hospital of Ningbo University, China.
A 48-year-old man developed sudden-onset haematemesis and melena after decompensated posthepatitic cirrhosis. Endoscopic variceal injectional sclerotherapy was emergently performed. However, the patient developed esophago-pleural fistula, empyema, and liver failure.
View Article and Find Full Text PDFManagement of a malignant esophagopleural fistula after stent failure with a suturing pexy: time to seal the leak.
VideoGIE
May 2023
Division of Gastroenterology and Hepatology, Virginia Mason Medical Center, Seattle, Washington.
Video 1Suturing pexy to seal a leak around an esophageal stent in the setting of a malignant esophago-pleural fistula.
View Article and Find Full Text PDFEsophago-Pleural Fistula Complicating a Laparoscopic Adjustable Gastric Band.
Case Rep Gastroenterol
November 2022
Division of Internal Medicine, St. Luke's Hospital, Chesterfield, Missouri, USA.
Laparoscopic adjustable gastric banding was previously a commonly performed bariatric procedure. However, in recent years, the procedure has become less commonly performed. Long-term complications nonetheless persist and continue to be seen in clinical practice.
View Article and Find Full Text PDFEsophageal Perforation Due to a Calcium Supplement Tablet.
Case Rep Gastroenterol
June 2022
Department of Surgery, NorthShore University Health System, Chicago, Illinois, USA.
Pill-induced esophagitis due to calcium supplements is extremely uncommon. We present a 60-year-old female patient with pill-induced esophageal perforation complicated by mediastinal abscess and esophago-pleural fistula following ingestion of a single over-the-counter "bone supplement" tablet containing mainly calcium.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!