Successful Closure of a Benign Refractory Tracheoesophageal Fistula Using an Over-the-Scope Clip after Failed Esophageal Stent Placement and Surgical Management.

• 发表时间: May 2020
• 来源期刊: Clin Endosc
• DOI: 10.5946/ce.2019.106
• PMID: 31657194
• 文章类型: Case Reports
• 作者列表: Pausawasdi N,Angkurawaranon C,Chantarojanasiri T,Chang A,Wongkornrat W,Leelakusolvong S,Methasate A

关键词: Esophagorespiratory fistula; Over-the-scope clip; Tracheoesophageal fistula

Abstract

Tracheoesophageal fistulas (TEFs) have traditionally been managed surgically, but the endoscopic approach is widely performed as a less invasive alternative. Different closure techniques have been proposed with inconsistent results. An over-the-scope clip (OTSC) appears to be a reasonable option, but long-term results have not been well defined. We report the long-term outcomes of a complex case of successful closure of a benign refractory TEF using an OTSC after failed surgical management and esophageal stent placement.