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Case Reports
. 2019 Sep 15;200(6):774-775.
doi: 10.1164/rccm.201812-2255IM.

Bronchoendoscopic Repair of Tracheoesophageal Fistula

Anthony B Mozer  1 , Eriberto Michel  1 , Colin Gillespie  1   2 , Ankit Bharat  1   2
Affiliations
Case Reports

Bronchoendoscopic Repair of Tracheoesophageal Fistula

Anthony B Mozer et al. Am J Respir Crit Care Med. .
No abstract available

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Figures

Figure 1.
Figure 1.
(A) Flexible bronchoscopy revealed a 1.2-cm tracheoesophageal fistula (TEF) in the craniocaudal dimension (arrow). (B and C) A covered esophageal stent was placed to contain tracheal aspiration (B) and treat pneumonitis (C). (D) During the repair of TEF, long needle drivers were passed through a rigid esophageal tube, and 2-0 nonabsorbable polyester sutures were advanced from the esophageal mucosa into the membranous trachea. (E) The needle was grasped in the trachea on visualization and brought out through the mouth. (F) Felt pledgets were used both on the esophageal and tracheal side to buttress the repair. (G) Then, a Cor-Knot device was used to tie the sutures and close the fistula. This device uses inert clips to hold the suture together. (H) An esophagram showed no residual TEF at 72 hours.
See this image and copyright information in PMC

References

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