Minimally Invasive Treatment Strategies for Tracheoesophageal Fistulae

Pavan Najran; Damian Mullan; David Shepherd; Alan Li; Hans-Ulrich Laasch

doi:10.1055/s-0038-1641164

Digestive Disease Interventions, Inhaltsverzeichnis

Digestive Disease Interventions 2018; 02(01): 011-017
DOI: 10.1055/s-0038-1641164

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

Minimally Invasive Treatment Strategies for Tracheoesophageal Fistulae

Autoren

Pavan Najran

¹Department of Radiology, The Christie NHS Foundation Trust, Manchester, United Kingdom
Damian Mullan

¹Department of Radiology, The Christie NHS Foundation Trust, Manchester, United Kingdom
David Shepherd

²Formerly Department of Radiology, Royal Bournemouth Hospital, Bournemouth, United Kingdom
Alan Li

³Department of Radiology, Central Manchester Foundation Trust, Manchester, United Kingdom
Hans-Ulrich Laasch

¹Department of Radiology, The Christie NHS Foundation Trust, Manchester, United Kingdom

Abstract

Tracheoesophageal fistula (TOF) is a serious consequence of invasive malignancy or iatrogenic injury. TOF can result in aspiration, infection, and sepsis causing significant morbidly and mortality. Management of TOF is challenging and deciding an appropriate strategy requires a multidisciplinary approach. Surgical management has limited application with associated risks and is not an option for a large portion of patients. Minimally invasive methods such as endoscopic repair and stent insertion are favorable. Radiological insertion of metallic stents allows accurate stent placement with the aid of fluoroscopic mapping. This review describes the various methods of managing TOF by a multidisciplinary team.

Keywords

cancer - dysphagia - endoprosthesis - endoscopy - interventional radiology - palliation

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References
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