Meu SciELO
Serviços Personalizados
Journal
Artigo
Indicadores
Citado por SciELO
Acessos
Links relacionados
Citado por Google
Similares em SciELO
Similares em Google
Compartilhar
Revista Española de Enfermedades Digestivas
versão impressa ISSN 1130-0108
Resumo
MOSQUERA-KLINGER, Gabriel e HOLGUIN-CARDONA, Andrea. Endoscopic closure of tracheoesophageal fistula for tuberculosis with an over-the-scope-clip. Rev. esp. enferm. dig. [online]. 2018, vol.110, n.9, pp.594-596. ISSN 1130-0108. https://dx.doi.org/10.17235/reed.2018.5563/2018.
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(r)) 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.
Palavras-chave : Tracheoesophageal fistulae; OTSC(r); Tuberculosis; AIDS serodiagnosis; Endoscopic treatment.