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The first experience of intraluminal endoscopic suturing of external gastropleural fistula

The first experience of intraluminal endoscopic suturing of external gastropleural fistula

Authors:
Юрий Сергеевич Тетерин,
Петр Андреевич Ярцев,
Марат Хасанбекович Гурциев,
Валерия Дмитриевна Маликова,
Дмитрий Викторович Золотарев,
Гамзат Исмаилович Дидуев

Журнал: Хирургия. Журнал им. Н.И. Пирогова. 2026;(9):79-83.

DOI: 10.17116/hirurgia202609179

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Abstract

Gastropleural fistula (GPF) is a rare disease characterized by fistulous tract between gastric and pleural cavities via the diaphragm. The authors present diagnosis and comprehensive treatment of a patient with GPF. Endoscopic closure of gastric wall defect using the Apollo OverStitch device for intraluminal suturing followed by video-assisted argon plasma coagulation (VAP) of cavity walls through thoracostomy and placement of vacuum aspiration system resulted in a positive clinical outcome in a patient with delayed postoperative complication.

Keywords

  • gastropleural fistula
  • endoscopic closure of defect
  • device for intraluminal suturing
  • endoscopic surgery

Дата поступления: 02.04.2026

Дата принятия в печать: 24.04.2026

Дата публикации: 11.09.2026

References
  1. Markowitz AM, Herter FP. Gastro-pleural fistula as a complication of esophageal hiatal hernia. Ann Surg. 1960;152(1):129-34. https://doi.org/10.1097/00000658-196007000-00018
  2. O’Keefe PA, Goldstraw P. Gastropleural fistula following pulmonary resection. Thorax. 1993;48(12):1278-1279. https://doi.org/10.1136/thx.48.12.1278
  3. Takeda S, Funaki S, Yumiba T, Ohno K. Gastropleural fistula due to gastric perforation after lobectomy for lung cancer. Interact Cardiovasc Thorac Surg. 2005;4(5):420-422. https://doi.org/10.1510/icvts.2005.108779
  4. Ivanov YuV, Stankevich VR, Epifantsev EA, Smirnov AV, Zlobin AI. Gastro-pleural fistula complicated by left-sided pleural empyema after laparoscopic gastric bypass surgery. Endoscopic surgery. 2023;29(6):98-102. (In Russ.). https://doi.org/10.17116/endoskop20232906198
  5. Al-Shurafa H, Alghamdi S, Albenmousa A, Alolayan H, Al-Shurafa Z. Gastropleural fistula after single anastomosis gastric bypass. A case report and review of the literature. Int J Surg Case Rep. 2017;35:82-86. https://doi.org/10.1016/j.ijscr.2017.03.035
  6. Li J, Cheng T. Mesh erosion after hiatal hernia repair: the tip of the iceberg? Hernia. 2019;23(6):1243-1252. https://doi.org/10.1007/s10029-019-02011-w
  7. Alghanim F, Alkhaibary A, Alzakari A, Alrumaih A. Gastropleural Fistula as a Rare Complication of Gastric Sleeve Surgery: A Case Report and Comprehensive Literature Review. Case Reports Surg. 2018;20:2416915. https://doi.org/10.1155/2018/2416915
  8. Dzhantukhanova SV, Starkov YuG, Timofeev ME, Vagapov AI, Imaraliev OT, Abu-Khaidar OB. First experience of endoscopic suturing of gastric insufficiency using the apollo overstitch system. Filin’s Clinical endoscopy. 2025;67(3):50-55. (In Russ.). https://doi.org/10.31146/2415-7813-endo-67-3-50-55.
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