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

Meta Tag

Concept Esophageal Fistula

Concept Endoscopic Management

Concept FCSEMS

Concept Spiration Valve

Concept Contrast Extravasation

Keywords

endoscopic approach

esophageal pleural fistula

Spiration valve

self-expanding metal stent

minimally invasive solution

Esophageal Fistula

Endoscopic Management

FCSEMS

Spiration Valve

Contrast Extravasation