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Table 1 Summary of therapeutic procedures for EMF

From: Refractory esophageal–mediastinal fistula successfully treated with endoluminal vacuum therapy and enteral nutrition using a double-lumen elemental diet tube: a case report

Procedure

Success rate (%)

Merits

Demerits

Indication for types of EMF

Ref. No.

OTSC

42.9% (n = 108)

Simple

Not suitable for fistula hole larger than 20 mm

Difficult to remove when unsuccessful

Wound less than 20 mm

Without inflammation and abscesses

[13, 14]

SEMS

81.1% (n = 340)

Oral intake available

Stent migration and dislocation

With inflammation but without abscesses

[15, 16]

EVT (Intraluminally or intracavity)

94.2% (n = 52)

Low incidence of major complications

Oral intake unavailable

Localized abscesses endoscopically accessible

[7, 17]

  1. EMF Esophageal mediastinal fistula, OTSC Over the scope clip, SEMS Self-expanding metal stent, EVT Endoluminal vacuum therapy