Details

Autor(en) / Beteiligte

• Lu, Hongpeng
• Li, Tongyu
• Xia, Ying
• Shao, Lihong
• Yu, Siyi
• Xu, Lei

Titel

Management of an Esophago-pleural Fistula after Emergent Endoscopic Variceal Injectional Sclerotherapy: A Case Report And Literature Review

Ist Teil von

• Internal Medicine, 2024/04/01, Vol.63(7), pp.937-941

Ort / Verlag

Japan: The Japanese Society of Internal Medicine

Erscheinungsjahr

2024

Quelle

MEDLINE

Beschreibungen/Notizen

• 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.