First-time use of a porcine small intestine submucosal plug device to close an acquired tracheo-esophageal fistula

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 s...

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Detalles Bibliográficos
Autores principales: Dessard, Laura, Deflandre, Jacques, Deflandre, Justine, Moonen, Vincent, Delhougne, Nicolas, Goffart, Yves
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10256662/
https://www.ncbi.nlm.nih.gov/pubmed/37294363
http://dx.doi.org/10.1186/s40792-023-01670-3
Descripción
Sumario: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.

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