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Endoscopic closure of tracheoesophageal fistula for tuberculosis with an over-the-scope-clip
- Source :
- Revista Española de Enfermedades Digestivas. 110:594-596
- Publication Year :
- 2018
- Publisher :
- Sociedad Espanola de Patologia Digestiva (SEPD), 2018.
-
Abstract
- Surgical management has been the main approach for enteral fistulae. This approach is usually complex due to comorbidities, a wasted nutritional state and anatomical difficulties related to prior multiple interventions. Therefore, endoscopic methods such as clips, self-expanding metal stent (SEMS) and recently, the over scope clip (OTSC®) are increasing in popularity and use. Herein, we present the case of a patient with a HIV infection who was admitted due to respiratory symptoms. Radiological and microbiological studies documented a tracheoesophageal fistula due to tuberculosis (TB) and cytomegalovirus (CMV) infection. Therefore, an esophageal fully-covered stent was placed, which migrated into the stomach. The thoracic surgeons considered an esophagectomy with gastric ascent and muscle patch in the trachea. However, due to his poor nutritional status and comorbidity, an OTSC was placed to treat the fistulae. The patient also received medical treatment with anti-tuberculotics and anti-retrovirals.
- Subjects :
- Adult
Male
medicine.medical_specialty
Tuberculosis
medicine.medical_treatment
Fistula
Antitubercular Agents
HIV Infections
Tracheoesophageal fistula
Endoscopy, Gastrointestinal
Sexual and Gender Minorities
03 medical and health sciences
0302 clinical medicine
medicine
Humans
030212 general & internal medicine
CLIPS
computer.programming_language
medicine.diagnostic_test
business.industry
Gastroenterology
Stent
General Medicine
medicine.disease
Comorbidity
Surgery
Endoscopy
Esophagectomy
Cytomegalovirus Infections
030211 gastroenterology & hepatology
business
computer
Tracheoesophageal Fistula
Subjects
Details
- ISSN :
- 11300108
- Volume :
- 110
- Database :
- OpenAIRE
- Journal :
- Revista Española de Enfermedades Digestivas
- Accession number :
- edsair.doi.dedup.....f0cd0a9825440599c6737ec296469785