Management of an Esophago-pleural Fistula after Emergent Endoscopic Variceal Injectional Sclerotherapy: A Case Report And Literature Review
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- Lu Hongpeng
- Department of Gastroenterology, The First Affiliated Hospital of Ningbo University, China
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- Li Tongyu
- Department of Hematology, The First Affiliated Hospital of Ningbo University, China
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- Xia Ying
- Department of Gastroenterology, The First Affiliated Hospital of Ningbo University, China
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- Shao Lihong
- Department of Gastroenterology, The First Affiliated Hospital of Ningbo University, China
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- Yu Siyi
- Department of Gastroenterology, The First Affiliated Hospital of Ningbo University, China
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- Xu Lei
- Department of Gastroenterology, The First Affiliated Hospital of Ningbo University, China
抄録
<p>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. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 63 (7), 937-941, 2024-04-01
一般社団法人 日本内科学会