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 CASE REPORT
Year : 2010  |  Volume : 56  |  Issue : 4  |  Page : 284-286

Endoscopic occlusion of idiopathic benign esophago-bronchial fistula


1 Department of Gastroenterology, Narayana Medical College, Nellore, India
2 Department of Internal Medicine, Creighton University, Medical Center, Nebraska, USA
3 Department of Surgery, Narayana Medical College, Nellore, India

Correspondence Address:
R K Yellapu
Department of Gastroenterology, Narayana Medical College, Nellore
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0022-3859.70941

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We report a 35-year-old male with recurrent respiratory infections and cough associated with ingestion of food for 15 years. He was diagnosed to have benign esophago-bronchial fistula and proximal jejunal stricture secondary to a tumor, which was surgically resected. In view of recent surgery, endoscopic closure of the fistula was attempted initially with an endoclip resulting in partial symptomatic relief. The fistula was later completely occluded endoscopically with cyanoacrylate glue. A barium swallow at eight-months follow-up revealed no evidence of esophago-bronchial communication. A high index of suspicion is required in the diagnosis of this rare entity in adults with recurrent respiratory infections of obscure etiology. Surgical resection is the standard treatment. Here we report a rare case of idiopathic benign esophago-bronchial fistula in an adult, treated with endoscopic approach.






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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow