Case Report The value of esophageal stenting for the treatment of benign tracheoesophageal fistulas: case report
نویسندگان
چکیده
We report the causes and characteristics of benign tracheoesophageal fistulas (TEF) in 14 cases and investigate the effects of different stenting methods in the treatment of TEF. Among the 14 cases, 2 cases resulted from inflammation, 8 cases from post-esophagectomy complications, 2 cases from complications of esophageal stenting for anastomotic strictures, and 2 cases from complications of chemoradiatio. Esophageal stenting was performed as the primary management in 7 cases and only one healed. Severe complications occurred in 6 cases, including 2 cases with esophageal stenosis and 4 cases with death from non-healing fistulas. Five patients were managed conservatively and 4 healed spontaneously. One patient received tracheal stenting but suffered from severe coughing. The other with gastric necrosis and a large fistula with mediastinitis underwent urgent surgical debridement and diversion procedures. Esophageal stenting for benign TEFs carries a high complication rate and mortality and therefore is not recommended.
منابع مشابه
Tracheoesophageal fistula following disc battery ingestion and foreign body impaction
Background: Ingestion of foreign bodies may result in the formation of a tracheoesophageal fistula (TEF), which causes severe morbidity in children. We describe four cases of TEF, who underwent emergent surgery for repair. Case presentation: In this report, we present about four patients aged between 9 months to 2.5 years, who referred due to disc battery ingestion. There were two boys and two ...
متن کاملThe Application of a New Cyanoacrylate Glue in Pediatric Surgery for Fistula Closure
Surgical glues have been used in pediatric surgery because of the fragility of tissue, and to prevent major surgeries. The present report describes our experience with using a new cya-noacrylate Glubran 2 (Viareggio, Italy) in the treatment of five cases of tracheoesophageal atresia with fistula (one fistula protection, three recurrent fistula, and one unstable patients), two cases of hypospadi...
متن کاملFirst Report of A Unique Presentation of Hypertrophic Pyloric Stenosis Following Type I Esophageal Atresia; A Case Report
Combination of congenital esophageal atresia and subsequent hypertrophic pyloric stenosis is a rare condition which occurs in early infancy. The underlying etiology and pathophysiology of this association still remains unclear. In this paper we report a unique case of hypertrophic pyloric stenosis, for the first time, which occurred in an infant who underwent surgery for type I esophag...
متن کاملOsteopetrosis Complicated by Maxillary Osteomyelitis: A Case Report
Introduction: Maxillary osteomyelitis is a rare phenomenon. If it occurs, evaluation for underlying disease especially osteopetrosis must be considered. Osteomyelitis occurs as a complication in 10% of the cases of osteopetrosis. Case report: This is a case report of maxillary osteomyelitis presented in a 15-year old boy with osteopetrosis. In this case, the disease represented mainly with ...
متن کاملMinimally invasive management of tracheoesophageal fistula with T-tube.
Christopher M. Tran, MD Louisiana State University Health Sciences Center – New Orleans Email: [email protected] Website: www.lsuhsc.edu Phone: 504.568.4785 Contact 1. Altorjay, A, Mucs, M, Rull, M, et al. Recurrent, nonmalignant tracheoesophageal fistulas and the need for surgical improvisation. Annals of Thoracic Surgery 2010; 89: 1789-1796. 2. Baisi, A, Bonavina, L, Narne, S, Peracchia, A. B...
متن کامل