title: Occlusion of a recurrent tracheoesophageal fistula with surgisis.
abstract: Recurrent fistula after the repair of esophageal atresia with a tracheoesophageal fistula is a difficult problem that requires a reoperation. Each subsequent operation poses greater risk and morbidity. Therefore, in this paper we describe a case in which a fistula recurred after the initial esophageal aresia repair, then recurred again after a thoracotomy to repair the recurrence. This recurrence was successfully treated with endobronchial obliteration of the fistula tract with a biosynthetic mesh.
authors.affiliation: Department of Surgery, The Children's Mercy Hospital, Kansas City, Missouri 64108, USA.
authors.forename: Scott J
authors.initials: SJ
authors.lastname: Keckler
authors.forename: Shawn D
authors.initials: SD
authors.lastname: St Peter
authors.forename: Casey M
authors.initials: CM
authors.lastname: Calkins
authors.forename: George W
authors.initials: GW
authors.lastname: Holcomb
mesh_terms: D001999:Bronchoscopy; D004933:Esophageal Atresia / Q000150:complications / Q000601:surgery*; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000008:administration & dosage; D006801:Humans; D007231:Infant, Newborn; D012008:Recurrence; D013526:Surgical Mesh; D013906:Thoracoscopy; D014014:Tissue Adhesives / Q000008:administration & dosage; D014138:Tracheoesophageal Fistula / Q000150:complications / Q000601:surgery / Q000628:therapy*
chemical_list: D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives