Endoscopy esophageal mucosal circumferential resection followed by bypass surgery to treat tracheoesophageal fistula.

ABSTRACT:

Objective

Tracheoesophageal fistula (TEF) is a severe complication often associated with advanced thoracic malignancies or chemoradiotherapy. This study introduces an innovative approach combining endoscopic submucosal dissection (ESD) and esophageal bypass surgery. This retrospective study aimed to evaluate the prognosis of patients with TEF in complete clinical remission after definitive chemoradiotherapy who underwent repair with such approach.

Methods

This is a retrospective analysis of 12 patients with TEF secondary to thoracic malignancies treated between June 2021 and June 2022. Patients underwent ESD for de-epithelialization of the esophageal lumen, followed by esophageal bypass surgery. Key outcomes included survival rates, fistula closure rates, postoperative clini

SUBMITTER: Li C 

PROVIDER: S-EPMC12529694 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature