Successful endoscopic closure of multiple tracheoesophageal fistulas following implantation of two atrial septal defect occluders
Subtil JC (1), Valenti V (2), Cienfuegos JA (2), Calabuig J (3), Hernández-Lizoain JL (2), Muñoz-Navas M (1).
(1) Service of Gastroenterology, Clinica Universidad de Navarra, School of Medicine, University of Navarre, Pamplona, Spain.
(2) Department of Surgery, Clinica Universidad de Navarra, School of Medicine, University of Navarre, Pamplona, Spain.
(3) Department of Cardiology, Clinica Universidad de Navarra, School of Medicine, University of Navarre, Pamplona, Spain.
Date: Nov 16, 2016General and Digestive Surgery Haemodynamic and Interventional Cardiology Unit Digestive [SP] Endoscopy Unit [SP]
Chronic tracheoesophageal fistulas [TEFs] represent one of the greatest challenges for endoscopists . A 63-year-old man diagnosed with adenocarcinoma of the esophagogastric junction was treated with neoadjuvant chemoradiotherapy and esophagectomy.
He developed two TEFs, which required the implantation of two self-expandable stents and a feeding jejunostomy. The prostheses were withdrawn 3 months later, and a tracheal prosthesis was put in place.
Given the persistence of the fistulas, the patient was referred to our center. Endoscopy and bronchoscopy revealed two fistulous orifices, 8 mm in diameter and 1 cm apart.
CITATION Endoscopy. 2016 0;48(S 01):E346-E347. Epub 2016 Nov 16.
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