Endoscopic sealing of tracheoesophageal fistulae: An improved method
2006 (English)In: Journal of Bronchology, ISSN 1070-8030, Vol. 13, no 4, 188-90 p.Article in journal (Refereed) Published
Recurrent or persistent tracheoesophageal fistulae after repair of esophageal atresia are infrequent but troublesome to the patients. Endoscopic sealing is an attractive, minimally invasive solution to this challenge. The best access for endoscopic treatment is via the trachea under general anesthesia. A drawback of this approach is that the fistula is exposed to positive pressure ventilation during the procedure. The positive pressure can force the fistula open and may counteract the endoscopic closure. In the present series, an esophageal balloon was used to block the airflow through the fistula during the sealing of fistulae in 4 children. The fistula was successfully closed in 3 children. Four to 5 sessions of endoscopic sealing were found necessary to complete the closure. The fourth child had to abandon treatment while moving from the area. The results were compared with those of the last child treated before the esophageal balloon was introduced. Assessed from a questionnaire, the sealing had a lasting effect up to 4 years after the procedure.
Place, publisher, year, edition, pages
2006. Vol. 13, no 4, 188-90 p.
recurrent tracheoesophageal fistula, tissue adhesives, endoscopic therapy
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-104728OAI: oai:DiVA.org:uu-104728DiVA: diva2:220081