Endoscopic Treatment of Very-Delayed-Onset Tracheoesophageal and Esophagocutaneous Fistulae after Colonic Interposition for Esophageal Atresia

Tracheoesophageal fistula can develop after surgical repair of congenital esophageal atresia, but it usually occurs in pediatric populations. Here, we present an adult patient with an unusual very-delayed onset of a large tracheoesophageal fistula and near esophagocutaneous fistula treated with serial multimodal endoscopic management featuring over-the-scope clips, argon plasma coagulation, and endoscopic suturing.