Clin Endosc.  2020 May;53(3):361-365. 10.5946/ce.2019.106.

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

Affiliations
  • 1Vikit Viranuvatti Siriraj Endoscopy Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • 2Division of Cardiothoracic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • 3Division of Minimally Invasive Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

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.

Keyword

Tracheoesophageal fistula; Over-the-scope clip; Benign refractory tracheoesophageal fistula; Esophagorespiratory fistula
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