[Endoscopic closure of a recurrent tracheoesophageal fistula].
We report a successful endoscopic obliteration of a large recurrent tracheo-esophageal fistula (diameter 0.6 cm, length 2 cm) in a 12-year old girl, using a combination of N-butyl-2-cyanoacrylate followed by polidocanol injected through a polyethylene catheter. The severe pulmonary infection, that rendered surgery potentially life-threatening, resolved after endoscopic closure. The girl remained asymptomatic for 14 months after the first obliteration. Chronic coughing was the symptom of relapse. A follow-up endoscopy revealed that most of the N-butyl-2-cyanoacrylate had disappeared from the fistula, whose endoscopic appearance was unchanged. A second obliteration with the same products was performed. The girl has again been asymptomatic for 10 months. The endoscopic obliteration is a worth-while technique, to be considered as an alternative to surgery in patients presenting with a complicated recurrent tracheo-oesophageal fistula.
Vandenplas
Y
Y
Unité de Gastro-entérologie Pédiatrique, Academisch Ziekenhuis Kinderen, Vrije Universiteit Brussels, Belgique.
Blecker
U
U
Lanciers
S
S
Vandevelde
A
A
De Backer
A
A
Beyens
T
T
Deconinck
P
P
D002648:Child; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination; D004659:Enbucrilate / Q000627:therapeutic use*; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005260:Female; D006801:Humans; D000077423:Polidocanol; D011092:Polyethylene Glycols / Q000627:therapeutic use*; D011859:Radiography; D012008:Recurrence; D014138:Tracheoesophageal Fistula / Q000000981:diagnostic imaging / Q000628:therapy*
D000077423:Polidocanol; D011092:Polyethylene Glycols; D004659:Enbucrilate
Fermeture endoscopique d'une fistule trachéo-oesophagienne récidivante.