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

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

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)1744-1746
Number of pages3
JournalThoracic Cancer
Volume13
Issue number11
DOIs
Publication statusPublished - 2022 Jun

All Science Journal Classification (ASJC) codes

  • Oncology
  • Pulmonary and Respiratory Medicine

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