Endoscopic treatment of recurrent tracheo-oesophageal fistulae: long-term results

Pediatric Surgery International
I E WillettsP K Tam

Abstract

Recurrent tracheo-oesophageal fistula (RTOF) occurs in 5%-15% of patients following oesophageal atresia repair. Re-thoracotomy is technically challenging and associated with significant morbidity, including a re-fistulation rate of 10%-22%. Endoscopic occlusion of the RTOF with tissue adhesives (fibrin glue, Histoacryl) is reported to be safe and highly effective. However, long-term results of such therapy are absent from the literature. A postal survey of 13 institutions reporting the use of such treatment regimes for RTOF in the literature between 1974 and 1995 was performed, and data collected concerning the long-term outcomes of their reported patients. Eleven institutions responded to the request for data, providing 22 patients (age range 1 month to 12 years) for review. All had undergone initially successful RTOF closure by endoscopic methods and had been followed up for a median of 107 months (range 3-264 months). There was no morbidity or mortality directly related to the procedure. Overall, only 55% of these endoscopically treated fistulas remained closed long-term. Fistula recurrence invariably occurred within 12 months of successful therapy (median 46 days, range 9-335). Most patients required multiple endoscopic pro...Continue Reading

Citations

Jun 12, 2009·Pediatric Surgery International·Vito BrigantiAlessandro Calisti
Nov 19, 2009·Pediatric Surgery International·Josefina FarraJuan E Sola
Sep 24, 2004·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Takashi IwazawaTakushi Monden
Aug 28, 2004·Gastrointestinal Endoscopy·Bret PetersenUNKNOWN Technology Assessment Committee, American Society for Gastrointestinal Endoscopy
Jul 26, 2003·International Journal of Pediatric Otorhinolaryngology·Nadan M PetriHrvoje Stipancević
Jul 13, 1999·International Journal of Pediatric Otorhinolaryngology·D J Hoelzer, J D Luft
May 28, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Scott J KecklerGeorge W Holcomb
Apr 21, 2004·Journal of Pediatric Gastroenterology and Nutrition·Nicholas OgunmolaLori Mahajan
Jun 10, 2010·World Journal of Gastroenterology : WJG·Jorge Avalos-GonzálezAlejandro González-Ojeda
May 27, 2014·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·C LepeytreJ-C Dubus
Aug 10, 2006·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·F E FahmyA Ahmed
Apr 2, 2013·Gastrointestinal Endoscopy·Rees Cameron, Kenneth F Binmoeller
Feb 22, 2012·Cirugía española·Marcos BrunaDavid Dávila
Jul 26, 2011·International Journal of Pediatric Otorhinolaryngology·Vito BrigantiAlessandro Calisti
Sep 11, 2009·Gastroenterología y hepatología·Francisca YankovicClaudio Navarrete
Dec 24, 2008·Seminars in Pediatric Surgery·Alan E Mortell, Richard G Azizkhan
Feb 19, 2008·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·L DonatoE Mihailidou
Jan 22, 2008·Journal of Pediatric Surgery·Gresham T RichterMichael J Rutter
Apr 6, 2007·International Journal of Pediatric Otorhinolaryngology·Jason D MeierLauren D Holinger
Jul 21, 2015·SpringerPlus·Mohammed Joudi Aboud, Manal Mohammed Kadhim
Dec 6, 2005·International Journal of Pediatric Otorhinolaryngology·K T TzifaJ Friedburg
Aug 1, 2019·Panminerva Medica·Giovanni GalluccioLorenzo Corbetta
Jan 21, 2017·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Giovanni Galluccio
Nov 3, 2016·Current Opinion in Otolaryngology & Head and Neck Surgery·Sam J Daniel, Mariana M Smith
Nov 11, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·M B AsikK Sandu
Jun 12, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Shannon Melissa ChanAnthony Yuen Bun Teoh

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.