Successful treatment of aortogastric fistula after esophagectomy

Akihiko Okamura, Hirofumi Kawakubo, Hiroya Takeuchi, Tatsuya Shimogawara, Kentaro Matsubara, Hideaki Obara, Takashi Oyama, Tatsuhiko Hoshikawa, Makoto Nakamaru, Keiichi Sotome, Kyoei Morozumi, Takashi Hachiya, Hideyuki Shimizu, Yuukou Kitagawa

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Aortogastric fistula is a rare and lethal complication after esophagectomy. We report a case of an aortogastric fistula due to a peptic ulcer after esophagectomy for esophageal carcinoma, in which treatment with surgery and endovascular stent graft repair was successful. A 67-year-old woman underwent esophagectomy for esophageal carcinoma and reconstruction with a gastric tube through the posterior mediastinal route. Eleven years later, she experienced massive hematemesis and severe shock due to an aortogastric fistula, although there was no evidence of cancer recurrence. The fistula was obliterated surgically and the perforated aorta was directly closed. However, a pseudoaneurysm located at the closure site on the aortic wall developed postoperatively. An endovascular thoracic aortic stent graft was placed successfully, and she was discharged after intensive care. Thus, we present the very rare case of an aortogastric fistula formed following esophagectomy that was successfully treated with surgery and endovascular stent graft repair.

Original languageEnglish
Pages (from-to)387-391
Number of pages5
JournalEsophagus
Volume12
Issue number4
DOIs
Publication statusPublished - 2015 Oct 1

Fingerprint

Esophagectomy
Fistula
Stents
Transplants
Carcinoma
Therapeutics
Hematemesis
False Aneurysm
Critical Care
Peptic Ulcer
Aorta
Shock
Stomach
Thorax
Recurrence
Neoplasms

Keywords

  • Aortogastric fistula
  • Endovascular stent graft repair
  • Esophagectomy
  • Peptic ulcer

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Successful treatment of aortogastric fistula after esophagectomy. / Okamura, Akihiko; Kawakubo, Hirofumi; Takeuchi, Hiroya; Shimogawara, Tatsuya; Matsubara, Kentaro; Obara, Hideaki; Oyama, Takashi; Hoshikawa, Tatsuhiko; Nakamaru, Makoto; Sotome, Keiichi; Morozumi, Kyoei; Hachiya, Takashi; Shimizu, Hideyuki; Kitagawa, Yuukou.

In: Esophagus, Vol. 12, No. 4, 01.10.2015, p. 387-391.

Research output: Contribution to journalArticle

Okamura, A, Kawakubo, H, Takeuchi, H, Shimogawara, T, Matsubara, K, Obara, H, Oyama, T, Hoshikawa, T, Nakamaru, M, Sotome, K, Morozumi, K, Hachiya, T, Shimizu, H & Kitagawa, Y 2015, 'Successful treatment of aortogastric fistula after esophagectomy', Esophagus, vol. 12, no. 4, pp. 387-391. https://doi.org/10.1007/s10388-014-0476-y
Okamura, Akihiko ; Kawakubo, Hirofumi ; Takeuchi, Hiroya ; Shimogawara, Tatsuya ; Matsubara, Kentaro ; Obara, Hideaki ; Oyama, Takashi ; Hoshikawa, Tatsuhiko ; Nakamaru, Makoto ; Sotome, Keiichi ; Morozumi, Kyoei ; Hachiya, Takashi ; Shimizu, Hideyuki ; Kitagawa, Yuukou. / Successful treatment of aortogastric fistula after esophagectomy. In: Esophagus. 2015 ; Vol. 12, No. 4. pp. 387-391.
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