Temporary endoscopic occlusion of tracheoesophageal fistula prior to radical surgery

Parshin V.D.; Simonova M.S.; Parshin A.V.; Ursov M.A.; Parshin V.V.; Serpukhin D.D.

doi:https://doi.org/10.17116/hirurgia202601198

Parshin V.D.

National Research Center for Phthisiopulmonology and Infectious Diseases;
Russian Medical Academy of Continuous Medical Education;
Federal Medical and Biological Agency

ORCID: 0000-0002-0104-481X

Simonova M.S.

National Research Center for Phthisiopulmonology and Infectious Diseases

ORCID: 0000-0002-4644-6708

Parshin A.V.

National Research Center for Phthisiopulmonology and Infectious Diseases;
Federal Medical and Biological Agency

ORCID: 0000-0003-1804-3386

Ursov M.A.

National Research Center for Phthisiopulmonology and Infectious Diseases;
Federal Medical and Biological Agency

ORCID: 0000-0003-1501-6374

Parshin V.V.

Sechenov First Moscow State Medical University

ORCID: 0000-0002-6897-5715

Serpukhin D.D.

National Research Center for Phthisiopulmonology and Infectious Diseases

ORCID: 0000-0002-1847-2300

Temporary endoscopic occlusion of tracheoesophageal fistula prior to radical surgery

Authors:

Parshin V.D., Simonova M.S., Parshin A.V., Ursov M.A., Parshin V.V., Serpukhin D.D.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2026;(1): 98‑104

DOI: 10.17116/hirurgia202601198

Read: 707 times

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To cite this article:

Parshin VD, Simonova MS, Parshin AV, Ursov MA, Parshin VV, Serpukhin DD. Temporary endoscopic occlusion of tracheoesophageal fistula prior to radical surgery. Pirogov Russian Journal of Surgery. 2026;(1):98‑104. (In Russ.)
https://doi.org/10.17116/hirurgia202601198

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

OBJECTIVE

To assess the effectiveness of Amplatzer Septal Occluder as a palliative approach for temporary TEF occlusion before radical surgery.

MATERIAL AND METHODS

The authors present a patient with multifocal post-tracheostomy TEF after mechanical ventilation for COVID-19. Two Amplatzer Septal Occluders were implanted under endoscopic guidance for temporary occlusion. Effectiveness, recurrence rate, and feasibility of radical surgery were evaluated.

RESULTS

TEF occlusion successfully eliminated aspiration and enabled radical repair after four months with minimal postoperative complications. However, device dislocation and fistula enlargement were identified as limitations.

CONCLUSION

This method appears promising but requires further research to assess complication risks and optimize implantation techniques.

Keywords:

tracheoesophageal fistula

endoscopic occlusion

Amplatzer Septal Occluder

aspiration syndrome

palliative surgery

COVID-19

mechanical ventilation

Authors:

Parshin V.D.

National Research Center for Phthisiopulmonology and Infectious Diseases;
Russian Medical Academy of Continuous Medical Education;
Federal Medical and Biological Agency

ORCID: 0000-0002-0104-481X

Simonova M.S.

National Research Center for Phthisiopulmonology and Infectious Diseases

ORCID: 0000-0002-4644-6708

Parshin A.V.

National Research Center for Phthisiopulmonology and Infectious Diseases;
Federal Medical and Biological Agency

ORCID: 0000-0003-1804-3386

Ursov M.A.

National Research Center for Phthisiopulmonology and Infectious Diseases;
Federal Medical and Biological Agency

ORCID: 0000-0003-1501-6374

Parshin V.V.

Sechenov First Moscow State Medical University

ORCID: 0000-0002-6897-5715

Serpukhin D.D.

National Research Center for Phthisiopulmonology and Infectious Diseases

ORCID: 0000-0002-1847-2300

Received:

31.01.2025

Accepted:

25.03.2025

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References:

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