Endoscopic Closure of Benign Tracheo-Esophageal Fistula using Novel Atrial Septal Defect Occluder Device

Introduction Surgery is standard for closure of tracheo-esophageal fistula (TEF). Video demonstrates successful endoscopic closure of TEF using atrial septal defect (ASD) Occluder device.

Patient and methods 53-years male –cough 2-months. CT scan, EGD, bronchoscopy –7mm TEF at 22 cm. Histology – inflammatory. Simultaneous EGD and bronchoscopy – fistula edge refreshed using APC. Guidewire negotiated from esophagus to trachea under fluoroscopy. Occluder (waist – 12mm, thickness – 4mm) deployed over guidewire. Trachea-bronchial patency confirmed. Feeding tube.

Results Follow-up Bronchoscopy and EGD –device in-situ, patent airway. Barium swallow – no leak. Oral diet tolerated.

Conclusions This video demonstrates successful TEF closure using Occluder device.

Citation: Bapaye A, Pawar B, Gandhi A et al. OP158V ENDOSCOPIC CLOSURE OF BENIGN TRACHEO-ESOPHAGEAL FISTULA USING NOVEL ATRIAL SEPTAL DEFECT OCCLUDER DEVICE. Endoscopy 2021; 53: S64.

Publication History

Article published online:
19 March 2021