Case Report
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World J Gastrointest Endosc. Apr 16, 2010; 2(4): 138-142
Published online Apr 16, 2010. doi: 10.4253/wjge.v2.i4.138
Diagnosis and endoscopic treatment of esophago-bronchial fistula due to gastric heterotopy
Konstantinos H Katsanos, Dimitrios K Christodoulou, Sevasti Kamina, Kosmidou Maria, Evangelia Lambri, Stavroula Theodorou, Konstantinos Tsampoulas, Mitsi Vasiliki, Epameinondas V Tsianos
Konstantinos H Katsanos, Dimitrios K Christodoulou, Kosmidou Maria, Epameinondas V Tsianos, 1st Department of Internal Medicine and Hepato-Gastroenterology Unit, University Hospital of Ioannina, Ioannina 45110, Greece
Sevasti Kamina, Evangelia Lambri, Mitsi Vasiliki, Department of Pathology, University Hospital of Ioannina, Ioannina 45110, Greece
Stavroula Theodorou, Konstantinos Tsampoulas, Department of Radiology, University Hospital of Ioannina, Ioannina 45110, Greece
Author contributions: Katsanos KH and Christodoulou DK drafted the article; Kamina S, Lambri E, Vasiliki M, Theodorou S, Tsampoulas K and Maria K performed data analysis and interpretation; Tsianos EV designed the study, revised the paper critically for important intellectual content and approved the final version.
Correspondence to: Epameinondas V Tsianos, MD, PhD, AGAF, Professor of Internal Medicine, Department of Internal Medicine, Medical School, University of Ioannina, Leoforos Stavrou Niarxou, Ioannina 45110, Greece.
Telephone: +30-26510-97501 Fax: +30-26510-97016
Received: September 14, 2009
Revised: March 13, 2010
Accepted: March 20, 2010
Published online: April 16, 2010

Heterotopic gastric mucosa patches are congenital gastrointestinal abnormalities and have been reported to occur anywhere along the gastrointestinal tract from mouth to anus. Complications of heterotopic gastric mucosa include dysphagia, upper gastrointestinal bleeding, upper esophageal ring stricture, adenocarcinoma and fistula formation. In this case report we describe the diagnosis and treatment of the first case of esophago-bronchial fistula due to heterotopic gastric mucosa in mid esophagus. A 40-year old former professional soccer player was referred to our department for treatment of an esophago-bronchial fistula. Microscopic examination of the biopsies taken from the esophageal fistula revealed the presence of gastric heterotopic mucosa. We decided to do a non-surgical therapeutic endoscopic procedure. A sclerotherapy catheter was inserted through which 1 mL of ready to use synthetic surgical glue was applied in the fistula and it closed the fistula opening with excellent results.

Keywords: Gastric heterotopy, Esophago-bronchial fistula, Ectopic gastric mucosa, Heterotopic gastric mucosa, Esophagus, Esophageal fistula therapy