Endoscopic closure of tracheoesophageal fistula with submucosal dissection and a biosynthetic mesh

" Fig.3), under the mucosal flap. The patient successfully restarted oral food intake and was discharged. Upper endoscopy and bronchoscopy confirmed the closure of the orifice during the subse- quent 8 months. There are currently multiple endoscopic options available for the treatment of tracheoesophageal fistulas, with an over- all success rate of 84% (1). Only one case report has described the use of mucosal resection (2). Biosynthetic mesh is fre- quently used in the surgical repair of multiple defects. However, endoscopic placement of mesh for tracheoesophageal fistula has only been described once, where it was deployed from the respira- tory tract and achieved a complete closure of the orifice (3). The case reported here describes a new endoscopic approach to tracheoesophageal fistulas that should be considered as an alternative in the man- agement of these challenging cases. Endoscopy_UCTN_Code_TTT_1AO_2AI