Endoscopic Management of Broncho-Oesophageal Fistula Caused by Impacted Denture
EAES Academy. Elnabil-Mortada A. 07/05/22; 363155; P200
Assoc. Prof. Ahmed Elnabil-Mortada
Contributions
Contributions
Abstract
Background:
Dentures are common accidentally ingested among the elderly. Foreign body impaction at oesophagus in adults is common, but it is very unusual to have broncho-oesophageal fistula (BOF) caused by denture. Most of cases managed by thoracotomy, few reports described endoscopic management for other benign causes of (BOF).
Methods:
We report a multidisciplinary management of a case of a broncho oesophageal fistula (image 1)caused by missed impacted denture.
Results:
A 60-year-old male was transferred from DGH to our centre with history of swallowed denture 6 month earlier. Initial CT scan showed left broncho-oesophageal fistula. Multidisciplinary team management includes interventional radiologist, cardiothoracic, and upper gastrointestinal surgeons succeeded to manage this case by endoscopy without the need for thoracotomy. Endoscopic retrieval of impacted denture plate was successful, followed by insertion of left bronchial stent, and percutaneous gastrostomy tube. Left bronchial stent was removed after three months with successful closure of the fistula (image 2).
Conclusion:
Multidisciplinary team discussion is crucial in management of complex surgical cases. Endoscopic management of broncho-oesophageal is an alternative option to thoracotomy in the big centre with available resources.
Dentures are common accidentally ingested among the elderly. Foreign body impaction at oesophagus in adults is common, but it is very unusual to have broncho-oesophageal fistula (BOF) caused by denture. Most of cases managed by thoracotomy, few reports described endoscopic management for other benign causes of (BOF).
Methods:
We report a multidisciplinary management of a case of a broncho oesophageal fistula (image 1)caused by missed impacted denture.
Results:
A 60-year-old male was transferred from DGH to our centre with history of swallowed denture 6 month earlier. Initial CT scan showed left broncho-oesophageal fistula. Multidisciplinary team management includes interventional radiologist, cardiothoracic, and upper gastrointestinal surgeons succeeded to manage this case by endoscopy without the need for thoracotomy. Endoscopic retrieval of impacted denture plate was successful, followed by insertion of left bronchial stent, and percutaneous gastrostomy tube. Left bronchial stent was removed after three months with successful closure of the fistula (image 2).
Conclusion:
Multidisciplinary team discussion is crucial in management of complex surgical cases. Endoscopic management of broncho-oesophageal is an alternative option to thoracotomy in the big centre with available resources.
Background:
Dentures are common accidentally ingested among the elderly. Foreign body impaction at oesophagus in adults is common, but it is very unusual to have broncho-oesophageal fistula (BOF) caused by denture. Most of cases managed by thoracotomy, few reports described endoscopic management for other benign causes of (BOF).
Methods:
We report a multidisciplinary management of a case of a broncho oesophageal fistula (image 1)caused by missed impacted denture.
Results:
A 60-year-old male was transferred from DGH to our centre with history of swallowed denture 6 month earlier. Initial CT scan showed left broncho-oesophageal fistula. Multidisciplinary team management includes interventional radiologist, cardiothoracic, and upper gastrointestinal surgeons succeeded to manage this case by endoscopy without the need for thoracotomy. Endoscopic retrieval of impacted denture plate was successful, followed by insertion of left bronchial stent, and percutaneous gastrostomy tube. Left bronchial stent was removed after three months with successful closure of the fistula (image 2).
Conclusion:
Multidisciplinary team discussion is crucial in management of complex surgical cases. Endoscopic management of broncho-oesophageal is an alternative option to thoracotomy in the big centre with available resources.
Dentures are common accidentally ingested among the elderly. Foreign body impaction at oesophagus in adults is common, but it is very unusual to have broncho-oesophageal fistula (BOF) caused by denture. Most of cases managed by thoracotomy, few reports described endoscopic management for other benign causes of (BOF).
Methods:
We report a multidisciplinary management of a case of a broncho oesophageal fistula (image 1)caused by missed impacted denture.
Results:
A 60-year-old male was transferred from DGH to our centre with history of swallowed denture 6 month earlier. Initial CT scan showed left broncho-oesophageal fistula. Multidisciplinary team management includes interventional radiologist, cardiothoracic, and upper gastrointestinal surgeons succeeded to manage this case by endoscopy without the need for thoracotomy. Endoscopic retrieval of impacted denture plate was successful, followed by insertion of left bronchial stent, and percutaneous gastrostomy tube. Left bronchial stent was removed after three months with successful closure of the fistula (image 2).
Conclusion:
Multidisciplinary team discussion is crucial in management of complex surgical cases. Endoscopic management of broncho-oesophageal is an alternative option to thoracotomy in the big centre with available resources.
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