재발성 선천성 식도기관지 누공의 Histoacryl을 이용한 내시경적 치료 1예

Abstract

Congenital tracheoesophageal fistula(TEF) and recurrent fistula after primary repair of esophageal atresia represent a difficult problem in diagnosis and management. The management involved an open technique via a cervical or thoracic route, approaches with high morbidity and mortality rates of up to 50%. Endoscopic treatment of fistula has been reported with various techniques such as tissue adhesives, electrocautery, sclerosants and laser. Nearly all of previous reported cases of endoscopic management were peformed by bronchoscopy. Now we present a difficult case of recurrent TEF treating with histoacrylate apply around the fistula by esophagoscopy.