Endoscopic Management of Recurrent Tracheoesophageal Fistula with Fibringlue and Electrocautery

Recurrent Tracheoesophageal Fistulas (RTEF) remains a therapeutic challenge, cause of the high rates of morbidity and mortality associated with open surgical closure and their frequent recurrence. Endoscopic techniques provide an alternative approach with the potential for improved surgical outcomes...

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Autor Principal: Ospina, Juan Camilo; Hospital Universitario San Ignacio
Otros Autores: Wuesthoff, Carolina; Pontificia Universidad Javeriana-Hospital Universitario San Ignacio
Formato: info:eu-repo/semantics/article
Idioma: spa
Publicado: Pontificia Universidad Javeriana 2012
Materias:
Acceso en línea: http://revistas.javeriana.edu.co/index.php/vnimedica/article/view/16147
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Sumario: Recurrent Tracheoesophageal Fistulas (RTEF) remains a therapeutic challenge, cause of the high rates of morbidity and mortality associated with open surgical closure and their frequent recurrence. Endoscopic techniques provide an alternative approach with the potential for improved surgical outcomes. We present a case of successful repair of recurrent tracheoesophageal fistula using bronchoscopy and esophagoscopy, as well as a combined technique with electrocautery and fibrin glue. We believe this might represent a valid alternative for the management of RTEF. We also want to point out the importance of considering primary or recurrent tracheoesophageal fistula in pediatric patients with recurrent respiratory tract infections.