Document Detail

Combined endovascular stent grafting and endoscopic injection of fibrin sealant for aortoenteric fistula complicating esophagectomy.
MedLine Citation:
PMID:  15622380     Owner:  NLM     Status:  MEDLINE    
A 67-year-old man with previous total gastrectomy and roux-en-Y esophagojejunostomy had hematemesis 4 weeks after esophagectomy performed because of carcinoma of the esophagus. Investigation showed an aortojejunal fistula with a thoracic aortic pseudoaneurysm. Endovascular stent grafting of the pseudoaneurysm, followed by endoscopic injection of fibrin sealant for the fistula, was performed, and the infection was controlled with broad-spectrum antibiotic agents together with drainage and daily irrigation of the pseudoaneurysm sac. The fistula subsequently healed. The patient remained well 14 months after the procedure; follow-up computed tomograms at 12 months did not show any pseudoaneurysm, and there was no evidence of reopening of the fistula.
Vivian W K Mok; Albert C W Ting; Simon Law; Kam Ho Wong; Stephen W K Cheng; John Wong
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  40     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-12-28     Completed Date:  2005-03-22     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1234-7     Citation Subset:  IM    
Division of Vascular Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, China.
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MeSH Terms
Anastomosis, Surgical / adverse effects
Aneurysm, False / etiology,  therapy
Aortic Aneurysm, Thoracic / etiology,  therapy
Aortic Diseases / etiology,  therapy*
Blood Vessel Prosthesis Implantation / methods*
Endoscopy, Digestive System
Esophageal Neoplasms / surgery
Esophagectomy / adverse effects*
Fibrin Tissue Adhesive / therapeutic use*
Intestinal Fistula / etiology,  therapy*
Therapeutic Irrigation
Treatment Outcome
Reg. No./Substance:
0/Fibrin Tissue Adhesive

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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