Surgical case reports · 2023
First-time use of a porcine small intestine submucosal plug device to close an acquired tracheo-esophageal fistula.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Dessard Laura, Deflandre Jacques, Deflandre Justine, Moonen Vincent, Delhougne Nicolas, Goffart Yves
Аннотация
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: 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: To our knowledge, we obtained for the first time, a satisfactory result for TEF closure with the use of a porcine SIS plug.
CASE PRESENTATION: 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: To our knowledge, we obtained for the first time, a satisfactory result for TEF closure with the use of a porcine SIS plug.