Korean Journal of Gastrointestinal Endoscopy 1998;18(5): 737-743.
증례 : 식도 위장관 ; Histoacrylⓡ 을 이용한 위흉강 누공의 치료 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Gastropleural Fistula Treated by Endoscopic lnjection of Histoacrylⓡ )
박수진, 이용찬, 안철우, 이상길, 문영명, 강진경, 박인서, 정경영 (Soo Jin Park, Yong Chan Lee, Churl Woo Ahn, Sang Kil Lee, Young Myoung Moon, Jin Kyung Kang, In Suh Park and Kyong Yong Jung)
Abstract
Gastropleural fistula is an uncommon condition which can be induced by a trauma, gastroesophagectomy, subphrenic abscess, malignancy, and or hiatal hernia. In the patient with a predisposing factor, gastropleural fistula must be considered when pneumothorax, pyothorax, hemothorax, or food materials in the chest tube is detected. Diagnosis can be confirmed by an esophagogastrogram or endoscopy. The prognosis is often very poor with conservative care needed, along with a fistulectomy reguiring repair of orifice. We experienced a case of gastropleural fistula treated by endoscopic injection of Histoacryl and report it here with a review of related literature.(Korean J Gastrointest Endosc 18: 737-741, 1998)