Objective:

To report a case of congenital bronchoesophageal fistula (BEF) in an adult and evaluate endoscopic techniques for its closure.

Approach:

• Method: A
• Method: 5
• Method: 8
• Method: -
• Method: y
• Method: e
• Method: a
• Method: r
• Method: -
• Method: o
• Method: l
• Method: d
• Method: m
• Method: a
• Method: n
• Method: w
• Method: i
• Method: t
• Method: h
• Method: a
• Method: 4
• Method: 0
• Method: -
• Method: y
• Method: e
• Method: a
• Method: r
• Method: h
• Method: i
• Method: s
• Method: t
• Method: o
• Method: r
• Method: y
• Method: o
• Method: f
• Method: s
• Method: w
• Method: a
• Method: l
• Method: l
• Method: o
• Method: w
• Method: i
• Method: n
• Method: g
• Method: -
• Method: i
• Method: n
• Method: d
• Method: u
• Method: c
• Method: e
• Method: d
• Method: c
• Method: o
• Method: u
• Method: g
• Method: h
• Method: w
• Method: a
• Method: s
• Method: d
• Method: i
• Method: a
• Method: g
• Method: n
• Method: o
• Method: s
• Method: e
• Method: d
• Method: w
• Method: i
• Method: t
• Method: h
• Method: a
• Method: n
• Method: e
• Method: s
• Method: o
• Method: p
• Method: h
• Method: a
• Method: g
• Method: e
• Method: a
• Method: l
• Method: -
• Method: l
• Method: e
• Method: f
• Method: t
• Method: m
• Method: a
• Method: i
• Method: n
• Method: b
• Method: r
• Method: o
• Method: n
• Method: c
• Method: h
• Method: i
• Method: a
• Method: l
• Method: f
• Method: i
• Method: s
• Method: t
• Method: u
• Method: l
• Method: a
• Method: .
• Method: E
• Method: n
• Method: d
• Method: o
• Method: s
• Method: c
• Method: o
• Method: p
• Method: i
• Method: c
• Method: i
• Method: n
• Method: t
• Method: e
• Method: r
• Method: v
• Method: e
• Method: n
• Method: t
• Method: i
• Method: o
• Method: n
• Method: w
• Method: a
• Method: s
• Method: p
• Method: e
• Method: r
• Method: f
• Method: o
• Method: r
• Method: m
• Method: e
• Method: d
• Method: t
• Method: o
• Method: c
• Method: l
• Method: o
• Method: s
• Method: e
• Method: t
• Method: h
• Method: e
• Method: f
• Method: i
• Method: s
• Method: t
• Method: u
• Method: l
• Method: a
• Method: .

Key Findings:

• Congenital BEF can present in adulthood with chronic symptoms, often remaining undetected for decades.
• Endoscopic closure using APC and OTSC was successful, leading to immediate resolution of symptoms.
• Follow-up imaging showed no persistent fistulous communication.

Interpretation:

The case highlights the potential for delayed presentation of congenital BEF and suggests that endoscopic techniques may be effective alternatives to surgical repair.

Limitations:

• The evidence for endoscopic interventions in congenital ADF is limited to case reports and small series.
• Further clinical studies are needed to establish guidelines for management.

Conclusion:

Endoscopic techniques may provide a minimally invasive option for managing congenital BEF in selected patients.