ASGE DDW Videos from Around the World | 2025-BRONCHIAL CONNECTION TREATED WITH STENT PLUS SPIRATION VALVE

BRONCHIAL CONNECTION TREATED WITH STENT PLUS SPIRATION VALVE

Video Transcription

Video Summary

A novel endoscopic approach was used to manage a 34-year-old male's esophageal pleural fistula, a rare but severe condition. This involved combining esophageal, gastrointestinal, and bronchoscopy techniques to place a stent and a Spiration valve at the fistula site. A viable fully-covered self-expanding metal stent prevented migration, while the Spiration valve, acting as a one-way mechanism, allowed liquid to drain but blocked solid material. Post-operatively, the patient showed no symptoms, and imaging confirmed successful fistula management. This technique provides a minimally invasive solution for treating complex esophageal pleural fistulas.

Asset Subtitle

Mayank Goyal

Keywords

endoscopic approach

esophageal pleural fistula

Spiration valve

self-expanding metal stent

minimally invasive solution