ASGE DDW Videos from Around the World | 2022-CASE CLOSED: ENDOSCOPIC MANAGEMENT OF A REFRACTORY TRACHEOESOPHAGEAL FISTULA

CASE CLOSED: ENDOSCOPIC MANAGEMENT OF A REFRACTORY TRACHEOESOPHAGEAL FISTULA

Video Transcription

Video Summary

In this video, the case of a 67-year-old man with a refractory tracheoesophageal fistula is presented. The patient had a history of esophageal adenocarcinoma and underwent several procedures to close the fistula, but with limited success. The patient was admitted to the hospital with aspiration pneumonia and a decision was made to place a surgical jejunostomy to avoid oral intake. The patient was referred to the advanced endoscopy team for a second opinion. Using an endoscopic tach and suture system, the fistula was closed successfully. Simultaneous bronchoscopy ensured airway safety during the procedure. A follow-up esophagram showed no sign of the fistula. This case demonstrates the potential of endoscopic intervention for refractory tracheoesophageal fistulas.

Keywords

refractory tracheoesophageal fistula

esophageal adenocarcinoma

surgical jejunostomy

endoscopic intervention

bronchoscopy