Patch-And-Glue: Novel Technique in Bronchoesophageal Fistula Repair and Broncholith Removal with Stent and Fibrin Glue

• Type of Material: Article
• Authors: An-Kwok Ian Wong, Emory University; April McDonald, Emory University; Brittany Jones, Emory University; David Berkowitz, Emory University
• Language: English
• Date: 2021-07-01
• Publisher: Wolters Kluwer Health, Inc
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2021 Wolters Kluwer Health, Inc. All rights reserved.
• License: Creative Commons Attribution-NonCommercial 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1097/LBR.0000000000000732
• Title of Journal or Parent Work: Journal of Bronchology and Interventional Pulmonology
• Volume: 28
• Issue: 3
• Start Page: E45
• End Page: E49
• Grant/Funding Information: AIW is partially funded by NIGMS 2T32GM095442.
• Keywords: Fibrin Tissue Adhesive; Stents; Humans; Bronchial Fistula; Esophageal Fistula

Abstract

Broncholithiasis and bronchoesophageal fistulae (BEF) are rare events, with broncholithiasis occurring in 0.1%−0.2% of respiratory disease patients,1 and acquired fistulae rarer still. Management can have potentially life-threatening complications, including major artery and esophageal lacerations. Furthermore, bronchoesophageal fistulae, if stented, are commonly stented from the esophagus.2 We present a case of bronchoesophageal fistula that was repaired by a combination of fibrin sealant and a covered stent, which shows a novel management approach.