Endoscopic Treatment of a Broncho-Esophageal Fistula after Sclerotherapy Injection for Acute Variceal Bleeding

Abstract

Introduction: Broncho-esophageal fistula (BEF) is a rare complication of sclerotherapy for esophageal variceal bleeding with high morbidity and mortality.Case Report: A 57-year-old male with decompensated cirrhosis complaining of dysphagia and fever was diagnosed with BEF soon after cyanoacrylate injection for acute variceal bleeding. The patient was successfully treated with a self-expandable metal stent (SEMS) anchored in the upper esophagus with a stent fixation clip. Conclusion:Endoscopic management of BEF with SEMS is safe and effective and stent fixation clips can improve the success rate of the endoscopic treatment.