ArticleVideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy2026
Postlobectomy bronchoesophageal fistula treated with endoscopic helical tacking system and anchor-pronged clip.
Article in VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background and Aims: Postsurgical bronchoesophageal fistulas represent challenging adverse events (AEs). We report a case of a postsurgical bronchoesophageal fistula endoscopically treated. Methods: A 50-year-old woman underwent a robot-assisted right upper lobectomy and lymphadenectomy for moderately differentiated acinar lung adenocarcinoma (staging: pT1a; pN0). Six weeks later, a CT imaging raised suspicion of a bronchoesophageal fistula, which was confirmed by a contrast-enhanced x-ray examination, upper endoscopy (7-mm fistula), and bronchoscopy. After multidisciplinary discussion, endoscopic closure of the fistula was attempted using a helical tacking system deployed in a Results: The procedure was well tolerated, and 4 weeks later, both upper endoscopy and x-ray esophageal transit demonstrated fistula closure. At 10-month follow-up, the patient was asymptomatic, and the fistula was persistently closed. Conclusions: Combined endoscopic management with a helical tacking system and anchor-pronged clip successfully resolved this AE, highlighting a minimally invasive therapeutic option for such challenging cases.
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