Abstract
A successfully treated case with broncho-esophageal fistula (B-E fistula) complicated after endoscopic sclerotherapy for esophageal varices was reported. A 55-year-old man threatened with ruptured esophageal varices was admitted. Emergency endoscopic sclerotherapy (ES) was performed intravariceally with 15m1 of 5% ethanolamine oleate. He became being suffered from cough when lying on bed and abdominal fullness one month after ES. Endoscopic examination and Gastrographin esophagogram revealed the B-E fistula with deep and wide esophageal ulcer. Abstaining from food with intravenous hyperalimentation (IVH) for one month, the ulcer resolved but the B-E fistula did not closed. Curetting the B-E fistula followed by injection of a fibrin coagulum into the fistula were repeated for four times with Olympus GIF-P 3. The fistula was completely healed within 2 months.
