Chemocauterization with trichloroacetic acid in congenital and recurrent tracheoesophageal fistula: a minimally invasive treatment

Lelonge, Yann; Varlet, François; Varela, Patricio; Saitua, Francisco; Fourcade, Laurent; Gutierrez, Rocio; Vermesch, Sophie; Prades, Jean-Michel; López, Manuel

doi:10.1007/s00464-015-4352-1

Cited by 42 publications

(31 citation statements)

References 17 publications

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“…Different techniques have been described to achieve endoscopic TOF closure, such as injection of a sealant, de-epithelialisation of the fistula, or a combination of both [151][152][153][154]. These techniques have a low risk and are associated with less morbidity, but a lower success rate, with very high refistulation rates [153].…”

Section: Tracheo-oesophageal Fistula Repairmentioning

confidence: 99%

ERS statement: interventional bronchoscopy in children

et al. 2017

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Paediatric airway endoscopy is accepted as a diagnostic and therapeutic procedure, with an expanding number of indications and applications in children. The aim of this European Respiratory Society task force was to produce a statement on interventional bronchoscopy in children, describing the evidence available at present and current clinical practice, and identifying areas deserving further investigation. The multidisciplinary task force panel performed a systematic review of the literature, focusing on whole lung lavage, transbronchial and endobronchial biopsy, transbronchial needle aspiration with endobronchial ultrasound, foreign body extraction, balloon dilation and occlusion, laser-assisted procedures, usage of airway stents, microdebriders, cryotherapy, endoscopic intubation, application of drugs and other liquids, and caregiver perspectives. There is a scarcity of published evidence in this field, and in many cases the task force had to resort to the collective clinical experience of the committee to develop this statement. The highlighted gaps in knowledge underline the need for further research and serve as a call to paediatric bronchoscopists to work together in multicentre collaborations, for the benefit of children with airway disorders.

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Section: Tracheo-oesophageal Fistula Repairmentioning

confidence: 99%

ERS statement: interventional bronchoscopy in children

et al. 2017

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“…Endoscopic techniques for the treatment of recurrent TEF have emerged as the minimally invasive alternative to the standard open closure. It is an attractive option to many surgeons because it is technically less demanding and takes less time . There are different options to close TEF endoscopically: injection of sealants; de‐epithelialization with a laser, electrocautery, or trichloroacetic acid; and a combination of both procedures .…”

Section: Discussionmentioning

confidence: 99%

“…It is an attractive option to many surgeons because it is technically less demanding and takes less time . There are different options to close TEF endoscopically: injection of sealants; de‐epithelialization with a laser, electrocautery, or trichloroacetic acid; and a combination of both procedures . The main advantages of endoscopic treatments are that they reduce operative time, time to enteral feeding, and length of hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Thoracoscopic approach for complications after esophageal atresia repair: initial experience

Novillo

Castro

Lenz

et al. 2019

Asian J Endoscop Surgery

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Introduction Improvements in technology and health care have helped reduce morbidity and mortality in patients with esophageal atresia. However, postoperative complications such as dehiscences, strictures, and recurrent fistulas still occur in a large percentage of patients. Here, we present our initial experience using the thoracoscopic approach for complications after esophageal atresia repair. Methods We retrospectively analyzed the medical records of patients who developed complications after esophageal atresia repair and underwent thoracoscopic reoperation at two centers. Anastomotic leakage, anastomotic stricture, and recurrent tracheoesophageal fistula were assessed as complications after esophageal atresia repair. Results We reoperated on four patients (range of age 3 days ‐ 2 years) by thoracoscopy. Two patients who had undergone thoracoscopic atresia repair presented with anastomotic dehiscence. The anastomoses were thoracoscopically reconstructed without tension. One patient had undergone thoracoscopic atresia repair presented with esophageal stricture refractory to endoscopic dilatations. Thoracoscopic esophagoesophagostomy was performed in this 2‐year‐old patient. One patient who had undergone esophageal atresia repair and tracheoesophageal fistula closure by thoracotomy presented with a recurrent fistula at 1 year of age. The patient underwent thoracoscopic fistula closure with a 5‐mm endostapler. All patients remain asymptomatic after reoperation. Conclusions Reoperation after esophageal atresia repair is challenging and carries a relatively high risk of developing complications. Compared to conventional surgery, the thoracoscopic approach in experienced hands offers better visualization and more accurate dissection and drainage of the thoracic cavity. Therefore, we want to encourage the use of thoracoscopy in the treatment of complications after esophageal atresia repair.

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“…In the last decades, endoscopic techniques have emerged as the minimally invasive alternative to the standard open closure. It is an attractive option because it is technically less demanding and faster 6 7. Injection of sealants into the fistula such as fibrin glue or n-butyl cyanoacrylate, de-epithelialisation of the fistula with laser, electrocautery or trichloroacetic acid instillation and a combination of both procedures are different options to close TOF by endoscopic approach 6 7.…”

Section: Discussionmentioning

confidence: 99%

“…It is an attractive option because it is technically less demanding and faster 6 7. Injection of sealants into the fistula such as fibrin glue or n-butyl cyanoacrylate, de-epithelialisation of the fistula with laser, electrocautery or trichloroacetic acid instillation and a combination of both procedures are different options to close TOF by endoscopic approach 6 7. These techniques have several advantages such as reduction of surgery time, early onset of enteral feeding and shorter length of stay.…”

Section: Discussionmentioning

confidence: 99%

Thoracoscopic recurrent tracheo-oesophageal fistula repair with mini endostapler: promising solution

Novillo

Castro²,

Vázquez

et al. 2019

BMJ Case Rep

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Recurrent tracheo-oesophageal fistula (TOF) is a common complication in children who underwent oesophageal atresia repair. The traditional surgical approach performed either by thoracotomy or cervicotomy is associated with a high rate of morbidity, mortality and new recurrence. In the last decades, endoscopic techniques have emerged as the minimally invasive alternative. However, it seems that the optimal treatment is still unknown. We present a patient with a recurrent TOF who underwent thoracoscopic closure using a 5.8 mm endostapler. The patient was extubated at the end of the procedure, and he started feeding the day after surgery. At 15 months of follow-up, he is asymptomatic. Thoracoscopic closure of TOF using endostaplers seems to be a safe alternative with some possible benefits compared with traditional and endoscopic approach.

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Chemocauterization with trichloroacetic acid in congenital and recurrent tracheoesophageal fistula: a minimally invasive treatment

Cited by 42 publications

References 17 publications

ERS statement: interventional bronchoscopy in children

ERS statement: interventional bronchoscopy in children

Thoracoscopic approach for complications after esophageal atresia repair: initial experience

Thoracoscopic recurrent tracheo-oesophageal fistula repair with mini endostapler: promising solution

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