Novel use of porcine extracellular matrix in recurrent stricture following repair of tracheoesophageal fistula

Anastomotic stricture is a common complication following repair of esophageal atresia (EA). Many factors are thought to contribute to stricture formation and a variety of management techniques have been developed. In this case report, we describe the treatment of a recurrent anastomotic stricture fo...

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Bibliographic Details
Published in:Pediatric surgery international 2017-09, Vol.33 (9), p.1027-1033
Main Authors: Cairo, Sarah B., Tabak, Benjamin, Harmon, Carroll M., Bass, Kathryn D.
Format: Article
Language:English
Subjects:
Case Report
Esophagus
Extracellular matrix
Medicine
Medicine & Public Health
Pediatric Surgery
Pediatrics
Surgery
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Summary:Anastomotic stricture is a common complication following repair of esophageal atresia (EA). Many factors are thought to contribute to stricture formation and a variety of management techniques have been developed. In this case report, we describe the treatment of a recurrent anastomotic stricture following repair of long-gap esophageal atresia. Porcine bladder extracellular matrix (ECM) was mounted on a stent and delivered endoscopically to the site of recurrent stricture. An appropriate positioning was confirmed using direct endoscopic visualization and intra-operative fluoroscopy. The patient recovered well with persistent radiographic and functional improvements in previous stricture.
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-017-4130-3