CLOSURE OF AN OESOPHAGO-BRONCHIAL FISTULA BY AMPLATZER PROTHESIS

The procedure of closing a confirmed oesophago-bronchial fistula (OBF) was performed using a gastroscope and a bronchoscope in an intubated patient, under air insufflation. The OBF was cannulated using the gastroscope with a cap. The Amplatzer Vascular Plug II 14 mm has been placed under double endoscopic control. Both extremities were released, under endoscopic control, successively in the trachea and in the esophagus, No adverse effects were identified. Since the procedure, the patient has had no new episodes of inhalation pneumopathy or cough. The opacification scanner confirmed the absence of reopening of the OBF and allowed a normal oral diet.