Endoscopic Treatment of Very-Delayed-Onset Tracheoesophageal and Esophagocutaneous Fistulae after Colonic Interposition for Esophageal Atresia

Kush Fansiwala; Elissa Lin; Jane Yanagawa; Adarsh M Thaker

doi:10.14309/crj.0000000000001812

Endoscopic Treatment of Very-Delayed-Onset Tracheoesophageal and Esophagocutaneous Fistulae after Colonic Interposition for Esophageal Atresia

ACG Case Rep J. 2025 Aug 13;12(8):e01812. doi: 10.14309/crj.0000000000001812. eCollection 2025 Aug.

Authors

Kush Fansiwala¹, Elissa Lin¹, Jane Yanagawa², Adarsh M Thaker¹

Affiliations

¹ Vatche and Tamar Manoukian Division of Digestive Diseases, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA.
² Division of Thoracic Surgery, Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA.

Abstract

Tracheoesophageal fistula can develop after surgical repair of congenital esophageal atresia, but it usually occurs in pediatric populations. Here, we present an adult patient with an unusual very-delayed onset of a large tracheoesophageal fistula and near esophagocutaneous fistula treated with serial multimodal endoscopic management featuring over-the-scope clips, argon plasma coagulation, and endoscopic suturing.

Keywords: defect closure; endoscopic suturing; over-the-scope-clip; overstitch; tracheoesophageal fistula.

Publication types

Case Reports