Endoscopic Tracheoesophageal Fistula Repair

Video Type: CVideo
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Author: Katherine Dunsky
Published:
Specialties: Otolaryngology, Pediatric Surgery
Schools: Texas Children's Hospital
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Basic Info

Contributors: Noemie Rouillard-Bazinet, MD and Deepak Mehta, MD

Endoscopic repair of tracheoesophageal fistula using electrocautery and fibrin glue.

DOI: http://dx.doi.org/10.17797/uq9ifhudgd

Editor Recruited By: Sanjay Parikh, MD, FACS

Advanced

Procedure

Endoscopic tracheoesophageal fistula repair. Patient was ventilated with a ventilating bronchoscope with spontaneous ventilation. The bugby cautery catheter and the flexible suction were passed through the port on the bronchoscope. The patient was fed with a NG tube post op.

Indications

Tracheoesophageal fistula, initial or recurrent

Contraindications

Patient instability

Instrumentation

Setup

Rigid bronchoscope, Bugbee electrode, fibrin glue (Tisseel)

Preoperative Workup

Esophagram

Anatomy and Landmarks

Advantages/Disadvantages

Advantages: quick, avoids open procedure
Disadvantages: may require multiple endoscopic repairs

Complications/Risks

Recurrence,

Disclosure of Conflicts

None

Acknowledgements

References

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