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Article: Endoscopic treatment of recurrent tracheo-oesophageal fistulae: long-term results

TitleEndoscopic treatment of recurrent tracheo-oesophageal fistulae: long-term results
Authors
Issue Date1998
PublisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00383/index.htm
Citation
Pediatric Surgery International, 1998, v. 13 n. 4, p. 256-258 How to Cite?
AbstractRecurrent Tracheo-Oesophageal Fistula (Rtof) Occurs In 5%-15% Of Patients Following Oesophageal Atresia Repair. Re-Thoracotomy Is Technically Challenging And Associated With Significant Morbidity, Including A Re-Fistulation Rate Of 10%-22%. Endoscopic Occlusion Of The Rtof With Tissue Adhesives (Fibrin Glue, Histoacryl) Is Reported To Be Safe And Highly Effective. However, Long-Term Results Of Such Therapy Are Absent From The Literature. A Postal Survey Of 13 Institutions Reporting The Use Of Such Treatment Regimes For Rtof In The Literature Between 1974 And 1995 Was Performed, And Data Collected Concerning The Long-Term Outcomes Of Their Reported Patients. Eleven Institutions Responded To The Request For Data, Providing 22 Patients (Age Range 1 Month To 12 Years) For Review. All Had Undergone Initially Successful Rtof Closure By Endoscopic Methods And Had Been Followed Up For A Median Of 107 Months (Range 3-264 Months). There Was No Morbidity Or Mortality Directly Related To The Procedure. Overall, Only 55% Of These Endoscopically Treated Fistulas Remained Closed Long-Term. Fistula Recurrence Invariably Occurred Within 12 Months Of Successful Therapy (Median 46 Days, Range 9-335). Most Patients Required Multiple Endoscopic Procedures To Achieve Successful Rtof Closure (Median 2.0, Range 1-4 Attempts), Although Significantly Fewer Attempts Were Required With Fibrin Glue Therapy. Surgical Re-Exploration Remains The Treatment Of Choice In The Fit Child. Endoscopic Therapy Offers A Safe And Elegant Alternative To High-Risk Surgery In The Sick Child, Although Repeated Treatments May Be Required For Successful Rtof Closure.
Persistent Identifierhttp://hdl.handle.net/10722/84083
ISSN
2015 Impact Factor: 1.01
2015 SCImago Journal Rankings: 0.409
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWilletts, IEen_HK
dc.contributor.authorDudley, NEen_HK
dc.contributor.authorTam, PKHen_HK
dc.date.accessioned2010-09-06T08:48:44Z-
dc.date.available2010-09-06T08:48:44Z-
dc.date.issued1998en_HK
dc.identifier.citationPediatric Surgery International, 1998, v. 13 n. 4, p. 256-258en_US
dc.identifier.issn0179-0358en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84083-
dc.description.abstractRecurrent Tracheo-Oesophageal Fistula (Rtof) Occurs In 5%-15% Of Patients Following Oesophageal Atresia Repair. Re-Thoracotomy Is Technically Challenging And Associated With Significant Morbidity, Including A Re-Fistulation Rate Of 10%-22%. Endoscopic Occlusion Of The Rtof With Tissue Adhesives (Fibrin Glue, Histoacryl) Is Reported To Be Safe And Highly Effective. However, Long-Term Results Of Such Therapy Are Absent From The Literature. A Postal Survey Of 13 Institutions Reporting The Use Of Such Treatment Regimes For Rtof In The Literature Between 1974 And 1995 Was Performed, And Data Collected Concerning The Long-Term Outcomes Of Their Reported Patients. Eleven Institutions Responded To The Request For Data, Providing 22 Patients (Age Range 1 Month To 12 Years) For Review. All Had Undergone Initially Successful Rtof Closure By Endoscopic Methods And Had Been Followed Up For A Median Of 107 Months (Range 3-264 Months). There Was No Morbidity Or Mortality Directly Related To The Procedure. Overall, Only 55% Of These Endoscopically Treated Fistulas Remained Closed Long-Term. Fistula Recurrence Invariably Occurred Within 12 Months Of Successful Therapy (Median 46 Days, Range 9-335). Most Patients Required Multiple Endoscopic Procedures To Achieve Successful Rtof Closure (Median 2.0, Range 1-4 Attempts), Although Significantly Fewer Attempts Were Required With Fibrin Glue Therapy. Surgical Re-Exploration Remains The Treatment Of Choice In The Fit Child. Endoscopic Therapy Offers A Safe And Elegant Alternative To High-Risk Surgery In The Sick Child, Although Repeated Treatments May Be Required For Successful Rtof Closure.en_US
dc.languageengen_HK
dc.publisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00383/index.htmen_HK
dc.relation.ispartofPediatric Surgery Internationalen_HK
dc.titleEndoscopic treatment of recurrent tracheo-oesophageal fistulae: long-term resultsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0179-0358&volume=13&spage=256&epage=258&date=1998&atitle=Endoscopic+treatment+of+recurrent+tracheo-oesophageal+fistulae:+long-term+resultsen_HK
dc.identifier.emailTam, PKH: paultam@hkucc.hku.hken_HK
dc.identifier.authorityTam, PKH=rp00060en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1007/s003830050310en_US
dc.identifier.pmid9553183-
dc.identifier.scopuseid_2-s2.0-0031969818en_US
dc.identifier.hkuros33407en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0031969818&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume13en_US
dc.identifier.issue4en_US
dc.identifier.spage256en_US
dc.identifier.epage258en_US
dc.identifier.isiWOS:000073618900007-

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