{
  "abstract": "BackgroundCongenital esophageal atresia (CEA) type III is a common neonatal digestive malformation, and recurrent tracheoesophageal fistula (rTEF) is a refractory long-term postoperative complication. Combined suspension laryngoscopy and flexible bronchoscopy minimally invasive fistula repair is a novel therapeutic strategy, yet standardized perioperative nursing experience targeting adolescents with multiple failed transthoracic surgeries remains scarce. Conventional nursing cannot simultaneously manage compound risks including severe malnutrition, tracheomalacia, adolescent anxiety and airway edema. This case report aimed to summarize multidisciplinary team (MDT) individualized full-cycle nursing protocols for this rare patient population.Case presentationA 17.5-year-old male patient with rTEF, 17.5 years after neonatal primary congenital esophageal atresia repair, with two failed transthoracic fistula closures, presented persistent feeding choking, recurrent pneumonia and severe malnutrition (BMI=15.5 kg/m2). MDT refined airway management, quantitative staged nutrition, whole-course psychological intervention and predictive complication prevention were implemented before and after endoscopic fistula repair. No severe complications occurred during hospitalization. Esophagography and bronchoscopy on postoperative day 10 confirmed complete fistula healing. The patient was discharged on postoperative day 14 with a 0.8 kg weight gain, and one-month follow-up showed sustained fistula repair and continuous weight improvement.ConclusionMDT-driven individualized perioperative nursing effectively reduces airway and nutritional complications and promotes fistula healing in adolescent rTEF patients receiving endoscopic minimally invasive surgery. This case provides replicable evidence-based nursing references for similar complex rare esophageal malformation cases.",
  "abstract_shown": true,
  "affiliations": [
    "Anesthesiology and Operation Center, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Children and Adolescents' Health and Diseases, Hangzhou, Zhejiang, China",
    "Department of Thoracic Surgery, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Children and Adolescents' Health and Diseases, Hangzhou, Zhejiang, China",
    "Department of ENT and Head & Neck Surgery, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Children and Adolescents' Health and Diseases, Hangzhou, Zhejiang, China",
    "Endoscopy Center, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Children and Adolescents' Health and Diseases, Hangzhou, Zhejiang, China"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Menghua Xia"
    },
    {
      "affs": [
        1
      ],
      "name": "Zheng Tan"
    },
    {
      "affs": [
        2
      ],
      "name": "Jia Liu"
    },
    {
      "affs": [
        3
      ],
      "name": "Lei Wu"
    },
    {
      "affs": [
        0
      ],
      "name": "Hangyan Zhao"
    },
    {
      "affs": [
        1
      ],
      "name": "Jie Xia"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/4p76wv299dqbf.bib",
  "cited_by": 0,
  "doi": "10.3389/fped.2026.1958428",
  "fulltext_url": "https://www.frontiersin.org/articles/10.3389/fped.2026.1958428/full",
  "id": "4p76wv299dqbf",
  "issns": [
    "2296-2360"
  ],
  "landing_url": "https://doi.org/10.3389/fped.2026.1958428",
  "language": "en",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "RJ1-570"
    ],
    [
      "openalex",
      "2746|Esophageal and GI Pathology"
    ]
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  "openalex": "W7223328810",
  "pdf_url": "https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2026.1958428/pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-23",
  "publisher": "Frontiers Media S.A.",
  "ris": "https://research.draconitic.com/paper/4p76wv299dqbf.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:43:47Z",
      "native_id": "458cd969eb394bbb8fadf8c2938f874b",
      "source": "doaj",
      "url": "https://doi.org/10.3389/fped.2026.1958428"
    }
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Esophageal and GI Pathology",
      "subfield": "surgery"
    }
  ],
  "title": "Perioperative individualized nursing for an adolescent with recurrent tracheoesophageal fistula after endoscopic repair: a case report",
  "title_text": "Perioperative individualized nursing for an adolescent with recurrent tracheoesophageal fistula after endoscopic repair: a case report",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:43:47Z",
  "url": "https://research.draconitic.com/paper/4p76wv299dqbf",
  "venue": "Frontiers in Pediatrics",
  "versions": []
}