J Korean Radiol Soc.  1995 Aug;33(2):223-227.

Radiologic Intervention of Esophagobronchial Fistula in Adults: Effeativeness of Oirect Fistula Occlusion and Pre-surgical Wire Insertion

• Kim YH
• Hur G
• Seo JW
• Kim JS
• Kwak YT
• Woo JJ

Abstract

PURPOSE
To assess the role and efficacy of radiologic intervention in the adult patients with esophagobronchial fistula.
MATERIALS AND METHODS
Radiologic intervertion was performed in 4 patients with esophagobronchial fistula. We tried direct occlusion of fistula tract by glue(histoacylate 0.4cc + lipiodol 0.3cc) and coil in 2 patients and performed presurgical wire insertion by using 8F curved catheter via esophageal opening of fistula tract. The latter procedure was carled out to detect the fistula tract easily at operation.
RESULTS
Direct occlusions of fistula tract by glue and coil were performed only to fail in 2 patients. Pre-surgical wire incertion by using 8F curred catheter under guidance of fluroscopy in 3 patients were helpful in detecting fistula tract at operation.
CONCLUSION
Direct occlusion of the fistulous tract in esophagobronchial fistulas was ineffective. However, presur- gical wire insertion by using cured catheter under fluroscopy guidance is helpful to detect the fistula tract easily at operation.

MeSH Terms

Adhesives
Adult*
Catheters
Ethiodized Oil
Fistula*
Humans
Adhesives
Ethiodized Oil