Three‐stage approach for aortoesophageal fistula after Roux‐en‐Y esophagojejunostomy

Autor:	Shuo‐Ying Dai, Chun‐Hao Chang, Yi‐Chen Wang, Jih‐Sheng Wen, Ting‐Kai Liao, Wei‐Ting Lin, Ren‐Hao Chan, Meng‐Ta Tsai, Wei‐Li Huang
Jazyk:	angličtina
Rok vydání:	2022
Předmět:	aortoesophageal fistula esophagojejunostomy three‐stage approach Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Zdroj:	Thoracic Cancer, Vol 13, Iss 11, Pp 1744-1746 (2022)
Druh dokumentu:	article
ISSN:	1759-7714 1759-7706
DOI:	10.1111/1759-7714.14446
Popis:	Abstract Surgical management of post‐esophagojejunostomy aortoesophageal fistula (AEF) has been scarcely reported, but is universally fatal. This report described a case of AEF after total gastrectomy with Roux‐en‐Y esophagojejunostomy and adjuvant chemoradiotherapy for gastric cardiac cancer. A three‐stage hybrid approach was used to successfully manage this complication. First, thoracic endovascular aortic repair curbed bleeding. Second, radical fistula resection eradicated infected areas and adjacent structures. Third, esophageal reconstruction using an ileocolonic conduit restored gastrointestinal continuity. This strategy could be safely feasible for managing post‐esophagojejunostomy AEF.
Databáze:	Directory of Open Access Journals
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