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Novel use of porcine extracellular matrix in recurrent stricture following repair of tracheoesophageal fistula

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Abstract

Anastomotic stricture is a common complication following repair of esophageal atresia (EA). Many factors are thought to contribute to stricture formation and a variety of management techniques have been developed. In this case report, we describe the treatment of a recurrent anastomotic stricture following repair of long-gap esophageal atresia. Porcine bladder extracellular matrix (ECM) was mounted on a stent and delivered endoscopically to the site of recurrent stricture. An appropriate positioning was confirmed using direct endoscopic visualization and intra-operative fluoroscopy. The patient recovered well with persistent radiographic and functional improvements in previous stricture.

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Authors and Affiliations

  1. Department of Pediatric Surgery, Women and Children’s Hospital of Buffalo, 219 Bryant Street, Buffalo, NY, 14222, USA

    Sarah B. Cairo, Benjamin Tabak, Carroll M. Harmon & Kathryn D. Bass

  2. Department of Surgery, University at Buffalo, State University of New York School of Medicine and Bioscience, Buffalo, NY, USA

    Carroll M. Harmon & Kathryn D. Bass

Authors
  1. Sarah B. Cairo
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  2. Benjamin Tabak
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  3. Carroll M. Harmon
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  4. Kathryn D. Bass
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Corresponding author

Correspondence to Sarah B. Cairo.

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Presentations

Quickshot presentation at International Pediatric Endosurgery Group conference in London, England, July 2017.

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Cairo, S.B., Tabak, B., Harmon, C.M. et al. Novel use of porcine extracellular matrix in recurrent stricture following repair of tracheoesophageal fistula. Pediatr Surg Int 33, 1027–1033 (2017). https://doi.org/10.1007/s00383-017-4130-3

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  • DOI: https://doi.org/10.1007/s00383-017-4130-3

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