“Apple core" endoscopic submucosal dissection for the treatment of a symptomatic bronchoesophageal fistula

Abstract Text 20 y.o. man with symptomatic bronchoesophageal fistula (chronic cough, recurrent pneumonitis). History of a type C esophageal atresia surgically treated and secondary anastomotic stricture of the ascended intestinal loop treated with endoscopic balloon dilations. A barium swallow showed an abnormal flow of contrast from the mid esophagus to the left main bronchi. Fistula was confirmed with an EGD. Endoscopic treatment consisting in combination of an “apple core” ESD, APC coagulation and clipping. Radiological follow-up after 6 weeks : no residual contrast leakage. Clinical follow-up after 8 weeks : less coughing, less respiratory secretions, no recurrence of pneumonitis [1] [2] [3] [4] [5].

Conflicts of interest

Authors do not have any conflict of interest to disclose.

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Publication History

Article published online:
14 April 2023