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Successful Closure of a Benign Refractory Tracheoesophageal Fistula Using an Over-the-Scope Clip after Failed Esophageal Stent Placement and Surgical Management

Clinical Endoscopy 2020년 53권 3호 p.361 ~ 365
Pausawasdi Nonthalee, Angkurawaranon Chotirot, Chantarojanasiri Tanyaporn, Chang Arunchai, Wongkornrat Wanchai, Leelakusolvong Somchai, Methasate Asada,
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 ( Pausawasdi Nonthalee ) - Mahidol University Faculty of Medicine Siriraj Hospital Vikit Viranuvatti Siriraj Endoscopy Center
 ( Angkurawaranon Chotirot ) - Mahidol University Faculty of Medicine Siriraj Hospital Vikit Viranuvatti Siriraj Endoscopy Center
 ( Chantarojanasiri Tanyaporn ) - Mahidol University Faculty of Medicine Siriraj Hospital Vikit Viranuvatti Siriraj Endoscopy Center
 ( Chang Arunchai ) - Mahidol University Faculty of Medicine Siriraj Hospital Vikit Viranuvatti Siriraj Endoscopy Center
 ( Wongkornrat Wanchai ) - Mahidol University Faculty of Medicine Siriraj Hospital Department of Surgery
 ( Leelakusolvong Somchai ) - Mahidol University Faculty of Medicine Siriraj Hospital Vikit Viranuvatti Siriraj Endoscopy Center
 ( Methasate Asada ) - Mahidol University Faculty of Medicine Siriraj Hospital Vikit Viranuvatti Siriraj Endoscopy Center

Abstract


Tracheoesophageal fistulas (TEFs) have traditionally been managed surgically, but the endoscopic approach is widely performed as a less invasive alternative. Different closure techniques have been proposed with inconsistent results. An over-the-scope clip (OTSC) appears to be a reasonable option, but long-term results have not been well defined. We report the long-term outcomes of a complex case of successful closure of a benign refractory TEF using an OTSC after failed surgical management and esophageal stent placement.

키워드

Esophagorespiratory fistula; Over-the-scope clip; Tracheoesophageal fistula

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