Scientific publications

Successful endoscopic closure of multiple tracheoesophageal fistulas following implantation of two atrial septal defect occluders

Nov 16, 2016 | Magazine: Endoscopy

Subtil JC (1), Valenti V (2), Cienfuegos JA (2), Calabuig J (3), Hernández-Lizoain JL (2), Muñoz-Navas M (1).

Chronic tracheoesophageal fistulas [TEFs] represent one of the greatest challenges for endoscopists [1]. 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 The prostheses were withdrawn 3 months later, and a tracheal prosthesis was put in place.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.