성인에서 식도기관지루의 방사선학적 중재:직접 폐쇄와 수술전 와이어 삽입의 효과 = Radiologic intervention of esophagobronchial fistula in adults : effeativeness of oirect fistula occlusion and pre-surgical wire insertion

다국어 초록 (Multilingual Abstract)

Purpose : To assess the role and efficacy of radiologic intervention in the adult patients with esophagobronchial fistula. Materials and Methods : Radiologic intervertion was performed in 4 patients with esophagobronchial fistula. We tried direct occlusion of fistula tract by glue(histoacylate 0.4cc + lipiodol 0.3cc)and coil in 2 patients and performed presurgical wire insertion by using 8F curved catheter via esophageal opening of fistula tract. The latter procedure was caried out to detect the fistula tract easily at operation. Results : Direct occlusions of fistula tract by glue and coil were performed only to fail in 2 patients. Pre-surgical wire incertion by using 8F curred catheter under guidance of fluroscopy in 3 patients were helpful in detecting fistulatract at operation. Conclusion : Direct occlusion of the fistulous tract in esophagobronchial fistulas was ineffective. However, presur-gical wire insertion by using cured catheter under fluroscopy guidance is helpful to detect the fistula tract easily at operation.