INTRODUCTION Esophageal perforation is a rare disease, which can lead to significant morbidity and mortality. Its clinical presentation can mimic other disease processes and, therefore, it can be easily misdiagnosed. Candida infection of the esophagus is an extremely rare cause of esophageal perforation. CASE PRESENTATION We report the youngest pediatric case in the medical literature of spon...

From October 1977 to December 1988, 108 neonates born with esophageal atresia (EA) and/or a tracheoesophageal fistula (TEF) were treated at the Bristol Royal Hospital for Sick Children. An incidence of I :4000-4500 live births was noted. 1I2.4% had the common- type anomaly, 5.5% had pure esophageal atresia, and 6.5% had an H-type anomaly. 2.8% had upper and lower fistulae and 2.8% had uppe...

able esophageal stents provide a new alternative in the treatment of patients with benign refractory esophageal stenoses. Despite encouraging preliminary results published in a small series of case reports [1–4], potential complications of biodegradable stents, like those seen with self-expandable plastic stents (SEPS) and self-expandable metallic stents (SEMS), have not been addressed yet. We ...

BACKGROUND AND STUDY AIMS Esophageal fistula due to cervical spine trauma is a rare, potentially fatal complication, which changes significantly the treatment and the prognosis of the trauma patient. There is scarce data regarding this associated pathology of cervical trauma and it consists only of isolated cases, most of them being reported as a complication of the surgical treatment. We prese...

The treatment of benign broncho-oesophageal fistula is usually surgical but sometimes other methods of treatment are preferred. The case history is described of an adult in poor general condition in which an endoscopic approach combined with the use of fibrin glue on the bronchial side and metallic clips on the oesophageal side was used to close the fistula.

An esophagorespiratory fistula (ERF) is an often fatal consequence of esophageal or bronchogenic carcinomas. The preferred treatment is placement of esophageal and/or airway stents. Stent placement must be performed as quickly as possible since patients with ERFs are at a high risk for aspiration pneumonia. In this review, choice of stents and stenting area, fistula reopening and its management...

Piriform sinus fistula (PSF) is a rare branchial anomaly that causes repetitive acute suppurative thyroiditis or deep neck abscess. The definitive treatment of PSF is open neck surgery. However, such surgery has a cosmetic problem and a high risk of recurrence. Furthermore, identifying the fistula is difficult due to previous repetitive infections. We report a case of esophageal submucosal absc...

The application of glue is an established treatment for fistulas [1,2]. We consider that the alpha-cyanoacrylate monomer (α-CA) is ideal for glue embolization of intractable fistulas in the gastrointestinal tract because the α-CA glue spreads faster, so creating a bond more rapidly than the other polymer glues, such as n-butyl cyanoacrylate polymer and 2-octyl cyanoacrylate polymer [3]. However...

A 65-year-old man was treated for a tracheo-esophageal fistula between the right main bronchus and the mid-portion of the esophagus, due to mediastinal lymphadenopathy in acute myeloid leukemia. A covered expandable esophageal stent (Ultraflex, Microvasive/Boston Scientific), 15 cm in length, was inserted under fluoroscopic control. Sealing of the fistula was complete, as confirmed by barium st...