A thin 64-year-old man was treated for an acquired nonmalignant tracheoesophageal fistula accompanied with chronic empyema. Because he had empyema, we performed only open drainage of the right thoracic cavity. We tried endoscopic closure of the fistula with titanium clips via esophagoscopy, but most of the clips slipped down about 1 month after this procedure. Despite intensive treatment, he died of gastrointestinal hemorrhage and aspiration pneumonia. Tracheoesophageal fistula accompanied with chronic empyema is extremely rare and very severe. Among endoscopic therapies, the clipping method was not suitable for the closure of tracheoesophageal fistula in this case.
Journal of Bronchology7:156-159, 2000.
Address reprint requests to Dr. Akihiko Kitami, Department of Thoracic and Cardiovascular Surgery, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku. Yokohama 227, Japan.
© 2000 Lippincott Williams & Wilkins, Inc.