Korean J Gastrointest Endosc.  1997 Feb;17(1):49-54.

Esophagus, Stomach & Intestine; A Case of Tracheoesophageal Fistula Caused by Fish Bone Induced Trauma with Complete Healing by Using the Fibrinogen: thrombin Glue

• Shim CS
• Lee MS
• Cho JY
• Lee JS
• Uh JG
• Chun DH
• Yu IH
• Lee CW
• Kang JH

Abstract

Tracheoesophageal fistula is a rare disease of abnormal communication between esopha- gus and respiratory system. The common causes are the acquired origins in adult such as trauma, infection of the adjacent organs, malignant tumor, and foreign body. Among the traumatic origins, chemical drug, the procedure of the dilatation on the stenotic area, blunt trauma(fall, collisions), penetrating trauma(bullet, knife), and pressure injury are much more common than others. Recently, trauma and foreign body in the esophagus and bronchus are becoming the main cause of the tracheoesophageal fistula, however the frequency of the development of tracheoesophageal fistula caused by the infectious diseases is getting decreased. Fibrinogen-thrombin glue stimulates the healing process of the wound and the ulcer. We treated a 52-year-old male patient with nan-inalignant tracheoesophageal fistula, who had symtoms of pharyngolaryngeal and chest discomfort concomitant with a paroxysmal cough on swallowing food which were caused by fish bone. The diagnosis of tracheoesophageal fistula was made by the esophagogram, chest CT, and esop aecopy. By using the therapeutic endoscopy with an injection of the fibrinogen-glue, the tracheoesopeal fistula was obliterated completely with dramatic symptomatic improvement. Here we conqluded that this method would be the one of the best methods for the treatment of tracheoesophageal fistula.

Keyword

Tracheoesophageal fistula; Fish bone; Fibrinogen-thrombin glue

MeSH Terms

Adhesives*
Adult
Bronchi
Communicable Diseases
Cough
Deglutition
Diagnosis
Dilatation
Endoscopy
Esophagus*
Fibrinogen*
Fistula
Foreign Bodies
Humans
Intestines*
Male
Middle Aged
Rare Diseases
Respiratory System
Stomach*
Thorax
Thrombin*
Tomography, X-Ray Computed
Tracheoesophageal Fistula*
Ulcer
Wounds and Injuries
Adhesives
Fibrinogen
Thrombin