title: Closure of an iatrogenic tracheo-esophageal fistula with bronchoscopic gluing in a mechanically ventilated adult patient.
abstract: Management of acquired nonmalignant tracheo-esophageal fistula (TEF) in mechanically ventilated patients is controversial. Surgical correction is often contraindicated because the high operative risk and spontaneous closure is unlikely due to the positive pressure ventilation. We present a case of successful closure of an iatrogenic TEF in a mechanically ventilated patient with bronchoscopic application of fibrin glue. The technique may be proposed in high-risk patients as either an alternative to surgery or as a first-line attempt before surgical correction.
authors.affiliation: Respiratory Diseases, Ospedale San Giovanni Battista, and University of Torino, Torino, Italy.
authors.forename: Ermanno
authors.initials: E
authors.lastname: Scappaticci
authors.forename: Francesco
authors.initials: F
authors.lastname: Ardissone
authors.forename: Sergio
authors.initials: S
authors.lastname: Baldi
authors.forename: Francesco
authors.initials: F
authors.lastname: Coni
authors.forename: Flavio
authors.initials: F
authors.lastname: Revello
authors.forename: Pier Luigi
authors.initials: PL
authors.lastname: Filosso
authors.forename: Enrico
authors.initials: E
authors.lastname: Ruffini
mesh_terms: D000368:Aged; D001999:Bronchoscopy; D015718:Fibrin Tissue Adhesive; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D012121:Respiration, Artificial; D014014:Tissue Adhesives; D014138:Tracheoesophageal Fistula / Q000209:etiology / Q000628:therapy*
chemical_list: D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives