• Internal medicine · Apr 2024

    Review Case Reports

    Management of an Esophago-pleural Fistula after Emergent Endoscopic Variceal Injectional Sclerotherapy: A Case Report And Literature Review.

    • Hongpeng Lu, Tongyu Li, Ying Xia, Lihong Shao, Siyi Yu, and Lei Xu.
    • Department of Gastroenterology, The First Affiliated Hospital of Ningbo University, China.
    • Intern. Med. 2024 Apr 1; 63 (7): 937941937-941.

    AbstractA 48-year-old man developed sudden-onset haematemesis and melena after decompensated posthepatitic cirrhosis. Endoscopic variceal injectional sclerotherapy was emergently performed. However, the patient developed esophago-pleural fistula, empyema, and liver failure. He thus received symptomatic treatments and nasojejunal feedings, which failed to restore the nutrition as the gastroesophageal reflux exacerbated the hydrothorax. Percutaneous endoscopic gastro-jejunal (PEG-J) was therefore carefully performed for enteral nutrition support. The patient had recovered from the fistula at a six-month follow-up, which allowed the resumption of an oral diet. Our literature review revealed that PEG-J is a feasible approach to treating esophago-pleural fistula, a rare but lethal complication of endoscopic sclerotherapy.

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