Bronchoscopic Management of Recurrent Tracheoesophageal Fistula in Children

Natasha L Vageriya*, Rasik Shah, Taha Daginawala and Prathamesh More

Received: February 20, 2020   Published:March 03, 2020

DOI: 10.32474/SCSOAJ.2020.04.000195

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Abstract

Objectives: To evaluate the results of bronchoscopic cauterisation of fistulous tract using bugbee electrode with or without injection of fibrin glue, for recurrent tracheoesophageal fistula (RTEF) in paediatric age group.

Methods: Retrospective analysis of patients of RTEF from 2004 to 2016 undergoing bronchoscopic management was performed. Four patients were identified and they were evaluated with respect to resolution of fistula, and their long-term outcomes.

Conclusion: Bronchoscopic cauterisation of fistula with bugbee diathermy along with application of fibrin glue if performed carefully can resolve RTEF. Author emphasises use of double lumen catheter for injection of fibrin glue and apnea during injection of glue as an important step to be strictly observed while performing bronchoscopic management of RTEF.

Keywords: Recurrent, TEF, Fibrin Glue, Bugbee diathermy

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