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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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
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author Dessard, Laura
Deflandre, Jacques
Deflandre, Justine
Moonen, Vincent
Delhougne, Nicolas
Goffart, Yves
author_facet Dessard, Laura
Deflandre, Jacques
Deflandre, Justine
Moonen, Vincent
Delhougne, Nicolas
Goffart, Yves
author_sort Dessard, Laura
collection PubMed
description 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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spelling pubmed-102566622023-06-11 First-time use of a porcine small intestine submucosal plug device to close an acquired tracheo-esophageal fistula Dessard, Laura Deflandre, Jacques Deflandre, Justine Moonen, Vincent Delhougne, Nicolas Goffart, Yves Surg Case Rep Case Report 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. Springer Berlin Heidelberg 2023-06-09 /pmc/articles/PMC10256662/ /pubmed/37294363 http://dx.doi.org/10.1186/s40792-023-01670-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Dessard, Laura
Deflandre, Jacques
Deflandre, Justine
Moonen, Vincent
Delhougne, Nicolas
Goffart, Yves
First-time use of a porcine small intestine submucosal plug device to close an acquired tracheo-esophageal fistula
title First-time use of a porcine small intestine submucosal plug device to close an acquired tracheo-esophageal fistula
title_full First-time use of a porcine small intestine submucosal plug device to close an acquired tracheo-esophageal fistula
title_fullStr First-time use of a porcine small intestine submucosal plug device to close an acquired tracheo-esophageal fistula
title_full_unstemmed First-time use of a porcine small intestine submucosal plug device to close an acquired tracheo-esophageal fistula
title_short First-time use of a porcine small intestine submucosal plug device to close an acquired tracheo-esophageal fistula
title_sort first-time use of a porcine small intestine submucosal plug device to close an acquired tracheo-esophageal fistula
topic Case Report
url 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
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