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“Rendez-vous” over-the-scope endoclipping for tracheoesophageal fistula: case report and review of the literature

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Summary

Background

Management of tracheoesophageal fistula is challenging and is associated with high morbidity and mortality. Malignancy and cuff-related tracheal decubitus are the most common causes of tracheoesophageal fistula. Open surgical division and closure of the fistula orifices with or without tissue interposition has represented the standard of care for decades. Endoscopic management of tracheoesophageal fistula is still debated and only a few cases have been described in the literature.

Methods

A 57-year-old male patient with chronic tracheoesophageal fistula occurring 1 year after esophagectomy for squamous-cell carcinoma was treated with a “rendez-vous” over the scope endoclipping technique using the OVESCO R system. The pertinent literature on the topic has been reviewed and compared to the present case.

Results

The patient was discharged home on postoperative day 6 on a semisolid diet and remains asymptomatic at 5 month follow-up.

Conclusions

The OVESCO R system seems to be safe and effective in the treatment of small tracheoesophageal fistula.

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Authors and Affiliations

  1. Department of Biomedical Sciences for Health, Division of General Surgery, IRCCS Policlinico San Donato, University of Milan, Milan, Italy

    A. Aiolfi MD, D. Bona MD, C. Ceriani MD & G. Saino MD

  2. Divisione Universitaria di Chirurgia, IRCSS Policlinico San Donato, Piazza E. Malan 2, 20097, San Donato Milanese, Milano, Italy

    L. Bonavina MD

Authors
  1. A. Aiolfi MD
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  2. D. Bona MD
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  3. C. Ceriani MD
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  4. G. Saino MD
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  5. L. Bonavina MD
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Corresponding author

Correspondence to L. Bonavina MD.

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Aiolfi, A., Bona, D., Ceriani, C. et al. “Rendez-vous” over-the-scope endoclipping for tracheoesophageal fistula: case report and review of the literature. Eur Surg 47, 199–201 (2015). https://doi.org/10.1007/s10353-015-0324-x

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  • DOI: https://doi.org/10.1007/s10353-015-0324-x

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