Endoscopic OTSC for Esophageal Stent Fixation in The Treatment of Esophagomediastinal Fistula

Recently, the over-the-scope-clip (OTSC) system has allowed esophageal prostheses to be anchored, preventing their migration. We present the case of a 60-year-old patient with mediastinal neoplasia, submitted to excision of the lesion by postero-lateral thoracotomy. Postoperative period with difficult to wean from invasive mechanical ventilation; investigation showed an esophagomediastinal fistula. Endoscopy was performed, observing a slit orifice with in a contralateral location to the tumor debulking area. A self-expanding metallic esophageal prosthesis was placed and fixed to the proximal top with Stentfix OTSC. The endoscopic and radiological control showed no evidence of complications.

Citation: Ventura S, Carvalho A, Pires F et al. eP56V ENDOSCOPIC OTSC FOR ESOPHAGEAL STENT FIXATION IN THE TREATMENT OF ESOPHAGOMEDIASTINAL FISTULA. Endoscopy 2021; 53: S115.

Publication History

Article published online:
19 March 2021