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Case Reports
. 2014 Oct 10;2(1):18-20.
doi: 10.14309/crj.2014.71. eCollection 2014 Oct.

Closure of a Chronic, Non-Healing Tracheoesophageal Fistula With a New Over-the-Scope Clip

Brian J So  1 , Douglas G Adler  1
Affiliations
Case Reports

Closure of a Chronic, Non-Healing Tracheoesophageal Fistula With a New Over-the-Scope Clip

Brian J So et al. ACG Case Rep J. .

Abstract

Tracheoesophageal fistulas can arise from both benign and malignant conditions, and often present clinically as increased secretions, coughing with or without hypoxia after swallowing, and recurrent aspiration pneumonia. We describe a tracheoesophageal fistula in a post-chemotherapy lymphoma patient that was closed with use of an over-the-scope Aponos clip.

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Figures

Figure 1
Figure 1
Endoscopic image of the tracheoesophageal fistula, demonstrating a fibrotic appearance.
Figure 2
Figure 2
Endoscopic image of the site of the tracheoesophageal fistula following deployment of Aponos clip.
Figure 3
Figure 3
Fluoroscopic image of (A) the clip (arrow) in place across fistula and (B) contrast injection into the esophagus following closure of fistula. Contrast appears to be confined to the esophagus consistent with fistula closure.
See this image and copyright information in PMC

References

    1. Mangi AA, Gaissert HA, Wright CD, et al. . Benign bronchoesophageal fistula in the adult. Ann Thorac Surg. 2002;73(3):911–5. Erratum appears in Ann Thorac Surg. 2002;73(6): 2038. - PubMed
    1. Ross WA, Lee JH. Endoscopic approach to tracheoesophageal fistulas in adults. Tech Gastrointest Endosc. 2008;10(4):155–163.
    1. Banerjee S, Barth BA, Bhat YM, et al. ; ASGE Technology Committee. Endoscopic closure devices. Gastrointest Endosc. 2012;76(2):244–51. Erratum in Gastrointest Endosc. 2013;77(5): 833. - PubMed
    1. Hoelzer DJ, Luft JD. Successful long-term endoscopic closure of a recurrent tracheoesophageal fistula with fibrin glue in a child. Int J Pediatr Otorhinolaryngol. 1999;48(3):259–263. - PubMed
    1. Adler DG, McAfee M, Gostout CJ. Closure of an esophagopleural fistula by using fistula tract coagulation and an endoscopic suturing device. Gastrointest Endosc. 2001;54(5):652–653. - PubMed

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