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The individual was followed up to judge the dimensions decrease in the fistula. Cough, backache, and temperature had been reduced within per week. Forty-five times after the surgery, endoscopic evaluation showed that the fistulas were reduced in dimensions. The more expensive one reduced from 0.5 cm to 0.2 cm, while the smaller one was fully shut. Conclusion Transplantation of a pedicle flap acquired from the esophageal mucosa endoscopically is minimally invasive for the treatment of fistula.B
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