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

研究成果: Article

1 引用 (Scopus)

抄録

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.

元の言語English
ページ(範囲)387-391
ページ数5
ジャーナルEsophagus
12
発行部数4
DOI
出版物ステータスPublished - 2015 10 1

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

ASJC Scopus subject areas

  • Gastroenterology

これを引用

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.

:: Esophagus, 巻 12, 番号 4, 01.10.2015, p. 387-391.

研究成果: Article

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, 巻. 12, 番号 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. :: Esophagus. 2015 ; 巻 12, 番号 4. pp. 387-391.
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AB - 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.

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KW - Peptic ulcer

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