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Synapse
March 21, 2026Breathe0 citationsOpen Access

An unintended path, an unusual solution

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ACAd Rian ChongMinistry of HealthCCChan Sin ChaiMinistry of HealthSCSwee Kim ChanMinistry of Health

Key Points

  • The aim is to address the issue of an iatrogenic bronchopleural fistula by using a less invasive method.
  • Identified a bronchopleural fistula resulting from chest tube placement.
  • Utilized bronchoscopic placement of an endobronchial Watanabe spigot to seal the leak.
  • Targeted patients for whom surgical options were not viable.
  • Successful sealing of the air leak was achieved with the Watanabe spigot.
  • Demonstrated the effectiveness of a minimally invasive approach in a complex clinical scenario.

Abstract

Shareable abstract An iatrogenic bronchopleural fistula from chest tube injury caused an air leak in empyema thoracis. Bronchoscopic placement of an endobronchial Watanabe spigot sealed the leak, offering a minimally invasive alternative when surgery was not feasible. https://bit.ly/3XOAFfS

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Cite This Study

Chong et al. (2026) studied this question.

synapsesocial.com/papers/69be34d16e48c4981c672fb3https://doi.org/10.1183/20734735.0314-2025
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Tube Thoracostomy: Complications and Its Management2011 · 152 citations
  2. 2Management of Persistent Air Leaks2017 · 308 citations
  3. 3Clinical Evaluation of Endoscopic Bronchial Occlusion with an Endobronchial Watanabe Spigot for the Management of Intractable Pneumothorax, Pyothorax with Bronchial Fistula, and Postoperative Air Leakage2020 · 27 citations
  4. 4Use of One-Way Intrabronchial Valves in Air Leak Management After Tube Thoracostomy Drainage2016 · 65 citations
  5. 5Efficacy and long-term clinical outcome of bronchial occlusion with endobronchial Watanabe spigots for persistent air leaks2014 · 36 citations