Endoscopic obliteration of recurrent tracheoesophageal fistula.
We report a successful endoscopic obliteration of a large recurrent tracheoesophageal fistula (diameter 0.6 cm, length 2.0 cm) in a 12-year-old girl, using a combination of Histoacryl (n-butyl-z-cyanoacrylate) and Aethoxysclerol injected through a polyethylene catheter. The severe pulmonary infection, which rendered surgery potentially life threatening, disappeared after the endoscopic closure. Since the obliteration, now over 12 months ago, the girl is asymptomatic. Endoscopic obliteration is a worthwhile technique and should be considered as an alternative to surgery in patients presenting with a complicated recurrent tracheoesophageal fistula.
Vandenplas
Y
Y
Unit of Pediatric Gastroenterology, Academisch Ziekenhuis Kinderen, Vrije Universiteit Brussel, Belgium.
Helven
R
R
Derop
H
H
Malfroot
A
A
De Backer
T
T
Beyens
T
T
Vandevelde
A
A
Desprechins
B
B
Laureys
W
W
Devis
G
G
D000768:Anesthesia, General; D002648:Child; D004659:Enbucrilate / Q000008:administration & dosage; D004933:Esophageal Atresia / Q000150:complications / Q000601:surgery; D004945:Esophagoscopy / Q000379:methods; D005260:Female; D006801:Humans; D000077423:Polidocanol; D011092:Polyethylene Glycols / Q000008:administration & dosage; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy*; D012008:Recurrence; D014014:Tissue Adhesives / Q000627:therapeutic use; D014138:Tracheoesophageal Fistula / Q000209:etiology / Q000628:therapy*
D014014:Tissue Adhesives; D000077423:Polidocanol; D011092:Polyethylene Glycols; D004659:Enbucrilate