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Successful treatment of aortogastric fistula after esophagectomy

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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.

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Ethical Statement

This report was in accordance with the Helsinki Declaration of 1975, as revised in 2000 and 2008.

Conflict of interest

There are no financial or other relations that could lead to a conflict of interest.

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Authors and Affiliations

  1. Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan

    Akihiko Okamura, Hirofumi Kawakubo, Hiroya Takeuchi, Tatsuya Shimogawara, Kentaro Matsubara, Hideaki Obara & Yuko Kitagawa

  2. Department of Surgery, Fussa Hospital, 1-6-1 Kamidaira, Fussa, Tokyo, 197-8511, Japan

    Takashi Oyama, Tatsuhiko Hoshikawa, Makoto Nakamaru, Keiichi Sotome & Kyoei Morozumi

  3. Department of Cardiovascular Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan

    Takashi Hachiya & Hideyuki Shimizu

Authors
  1. Akihiko Okamura
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  2. Hirofumi Kawakubo
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  3. Hiroya Takeuchi
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  4. Tatsuya Shimogawara
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  5. Kentaro Matsubara
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  6. Hideaki Obara
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  7. Takashi Oyama
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  8. Tatsuhiko Hoshikawa
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  9. Makoto Nakamaru
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  10. Keiichi Sotome
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  11. Kyoei Morozumi
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  12. Takashi Hachiya
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  13. Hideyuki Shimizu
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  14. Yuko Kitagawa
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Corresponding author

Correspondence to Hirofumi Kawakubo.

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Okamura, A., Kawakubo, H., Takeuchi, H. et al. Successful treatment of aortogastric fistula after esophagectomy. Esophagus 12, 387–391 (2015). https://doi.org/10.1007/s10388-014-0476-y

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  • DOI: https://doi.org/10.1007/s10388-014-0476-y

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