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 |
| 巻 | 12 |
| 発行部数 | 4 |
| DOI | |
| 出版物ステータス | Published - 2015 10 1 |
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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
}
TY - JOUR
T1 - Successful treatment of aortogastric fistula after esophagectomy
AU - Okamura, Akihiko
AU - Kawakubo, Hirofumi
AU - Takeuchi, Hiroya
AU - Shimogawara, Tatsuya
AU - Matsubara, Kentaro
AU - Obara, Hideaki
AU - Oyama, Takashi
AU - Hoshikawa, Tatsuhiko
AU - Nakamaru, Makoto
AU - Sotome, Keiichi
AU - Morozumi, Kyoei
AU - Hachiya, Takashi
AU - Shimizu, Hideyuki
AU - Kitagawa, Yuukou
PY - 2015/10/1
Y1 - 2015/10/1
N2 - 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.
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.
KW - Aortogastric fistula
KW - Endovascular stent graft repair
KW - Esophagectomy
KW - Peptic ulcer
UR - http://www.scopus.com/inward/record.url?scp=84942849245&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84942849245&partnerID=8YFLogxK
U2 - 10.1007/s10388-014-0476-y
DO - 10.1007/s10388-014-0476-y
M3 - Article
AN - SCOPUS:84942849245
VL - 12
SP - 387
EP - 391
JO - Esophagus
JF - Esophagus
SN - 1612-9059
IS - 4
ER -