First-time use of a porcine small intestine submucosal plug device to close an acquired tracheo-esophageal fistula.
Acquired
Endoscopic technique
Fistula
Small intestine submucosal plug device
Tracheoesophageal
Journal
Surgical case reports
ISSN: 2198-7793
Titre abrégé: Surg Case Rep
Pays: Germany
ID NLM: 101662125
Informations de publication
Date de publication:
09 Jun 2023
09 Jun 2023
Historique:
received:
08
01
2023
accepted:
12
05
2023
medline:
9
6
2023
pubmed:
9
6
2023
entrez:
9
6
2023
Statut:
epublish
Résumé
Acquired tracheo-esophageal fistula (TEF) is a rare, life-threatening pathology, responsible for severe comorbidities. Its management is a real therapeutic challenge and remains controversial. We report the first case of endoscopic treatment of TEF by using a porcine small intestine submucosal (SIS) plug device in a young quadriplegic patient after failed surgical closure by cervicotomy. After 1 year of follow-up, oral feeding of the patient was resumed and no clinical signs of fistula recurrence were evident. To our knowledge, we obtained for the first time, a satisfactory result for TEF closure with the use of a porcine SIS plug.
Sections du résumé
BACKGROUND
BACKGROUND
Acquired tracheo-esophageal fistula (TEF) is a rare, life-threatening pathology, responsible for severe comorbidities. Its management is a real therapeutic challenge and remains controversial.
CASE PRESENTATION
METHODS
We report the first case of endoscopic treatment of TEF by using a porcine small intestine submucosal (SIS) plug device in a young quadriplegic patient after failed surgical closure by cervicotomy. After 1 year of follow-up, oral feeding of the patient was resumed and no clinical signs of fistula recurrence were evident.
CONCLUSION
CONCLUSIONS
To our knowledge, we obtained for the first time, a satisfactory result for TEF closure with the use of a porcine SIS plug.
Identifiants
pubmed: 37294363
doi: 10.1186/s40792-023-01670-3
pii: 10.1186/s40792-023-01670-3
pmc: PMC10256662
doi:
Types de publication
Journal Article
Langues
eng
Pagination
101Informations de copyright
© 2023. The Author(s).
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