A CASE REPORT OF THE ENDOSCOPIC CLOSURE OF THE ESOPHAGOBRONCHIAL FISTULA FOLLOWING BY THE ESOPHAGEAL CANCER SUCCESSFULLY TREATED BY USING OF THE α-CYANO-ACRYLATE (ARON-α-A)

Abstract

A patient, 53-year-old male was diagnosed the esophageal cancer. It invased to the left main bronchus and complicated the atelectasis and the obstructive pneumonia. Moreover radiation therapy and bougienage intubation to the esophageal stricture in recurrence stage was performed. But, after that, esophagobronchial fistula was complicated. We successfully treated the closure of the fistula using with the α-Cyano-Acrylate (ARON-α-A) endoscopically. Patient was died about 4 months later, and he could take food orally until his end. We think this method is useful from the viewpoint of the "Quality of life" in the malignant end stage.