Endoscopic closure of tracheoesophageal fistula for tuberculosis with an over-the-scope-clip
| Autor: | Andrea Holguín-Cardona, Gabriel Mosquera Klinger |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
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 |
| Zdroj: | Revista Española de Enfermedades Digestivas. 110:594-596 |
| ISSN: | 1130-0108 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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