The use of Watanabe spigots in the management of bronchoesophageal fistulas

Czech version

Authors: Marek Vojtko ¹ ; Martin Ďuriček ¹ ; Michal Demeter ¹ ; Ivan Kocan ² ; Anton Dzian ³ ; Peter Bánovčin ¹
Published in: Gastroent Hepatol 2024; 78(4): 335-342
Category: Clinical and Experimental Gastroenterology: Review Article
doi: https://doi.org/10.48095/ccgh2024335

Overview

Bronchoesophageal and bronchogastric fistulas are rare complications of thoracic surgery as esophagectomy, malignancy or prolonged endotracheal intubation. Although uncommon, their morbidity and mortality is substantial. Treatment of these fistulas is challenging and often lengthy with limited success rates. Endoscopic treatment may be the treatment of choice for some types of fistulas, but despite a variety of methods available, the success rate is relatively low with little consistent data about its effectiveness. At the same time, new technologies and devices have become available with a potential to address these complicated conditions. One of them are Watanabe spigots, initially used in pneumology for the treatment of persistent pneumothorax and pyothorax with bronchial fistula. In the presented case reports Watanabe spigots are used in combination with over-the-scope clips in two of our patients with bronchoesophageal fistulas fol lowing esophagectomy with promising results. We also present an overview of endoscopic methods of therapy in the context of and separately discuss available evidence about the possibilities of the use of Watanabeho spigots in the treatment of bronchoesophageal fistulas.

Keywords:

bronchoesophageal fistula – Watanabe spigot – esophagectomy – over-the-scope clip

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ORCID autorov

M. Vojtko 0000-0002-8374-2741,

M. Ďuriček 0000-0002-0754-4532,

M. Demeter 0000-0003-4585-9380,

I. Kocan 0000-0001-8965-3996,

A. Dzian 0000-0002-4883-3605,

P. Bánovčin 0000-0001-6694-9364.

Doručené/Submitted: 7. 7. 2024

Prijaté/Accepted: 22. 7. 2024

Korešpondenčný autor

MUDr. Martin Ďuriček, PhD.

Interná klinika – gastroenterologická