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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2018; 09(04): 188-192
DOI: 10.4103/jde.JDE_18_18
Case Report
Journal of Digestive Endoscopy

Tracheoesophageal Fistula: Bridging the Gap by Over‑the‑scope Clip Services

Avinash Bhat Balekuduru
Department of Gastroenterology, MS Ramaiah Memorial Hospital, Bengaluru, Karnataka, India
,
Siddharth Dhande
Department of Gastroenterology, MS Ramaiah Memorial Hospital, Bengaluru, Karnataka, India
,
Lokesh Locheruvapalli Venkateshappa
Department of Gastroenterology, MS Ramaiah Memorial Hospital, Bengaluru, Karnataka, India
,
Satyaprakash Bonthala Subbaraj
Department of Gastroenterology, MS Ramaiah Memorial Hospital, Bengaluru, Karnataka, India
› Author Affiliations
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Publication History

Publication Date:
24 September 2019 (online)

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Abstract

Tracheoesophageal fistula (TOF) can be congenital or acquired. Acquired TOF can be caused by iatrogenic or traumatic or due to malignancy with pulmonary infection or aspiration being the presenting symptom. Management of TOF is associated with high mortality and morbidity and remains an interdisciplinary challenge. In general, depending on the size and location of the tracheal aspect of the fistula, surgical therapy involves primary repair of the fistula and, if necessary, resection and reconstruction of the trachea. We present two cases of iatrogenic TOF following surgery successfully closed using over‑the‑scope clips. This report also compares both the Ovesco and Padlock clip devices.

KEYWORDS

Endoscopic closure devices - over‑the‑scope clips - tracheoesophageal fistula
 

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