Korean Journal of Gastrointestinal Endoscopy 1997;17(1): 49-54.
증례 : 식도 위장관 ; 생선뼈에 의해 형성된 기관 식도루에서 Fibrinogen - thrombin glue 로 치유된 기관 식도루 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Tracheoesophageal Fistula Caused by Fish Bone Induced Trauma with Complete Healing by Using the Fibrinogen - thrombin Glue )
심찬섭, 이문성, 조주영, 이준성, 어중건, 전동하, 유인환, 이창후, 강정협 (Chan Sup Shim, Moon Sung Lee, Joo Young Cho, Jun Sung Lee, Jung Gun Uh, Dong Ha Chun, In Hwan Yu, Chang Who Lee and Jung Hyeup Kang)
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. (Korean J Gastrointest Endosc 17: 49-54, 1997)
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