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食管切除术后四年发生主动脉-人工血管瘘。

Aorto-conduit fistula developing four years after esophagectomy.

作者信息

Strong S, Higgs S, Streets C, Titcomb D, Barham P, Blazeby J, Hollowood A

机构信息

University Hospitals, Bristol, UK.

出版信息

J Surg Case Rep. 2012 Feb 1;2012(2):8. doi: 10.1093/jscr/2012.2.8.

DOI:10.1093/jscr/2012.2.8
PMID:24960784
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3649491/
Abstract

A 71 year old lady was treated for a squamous cell carcinoma of the oesophagus with neo-adjuvant chemotherapy followed by a two phase Ivor-Lewis oesophagectomy with two field lymphadenectomy. She presented four years later with life threatening bleeding from a fistula between the thoracic aorta and the gastric conduit, which was treated successfully with a thoracic aortic stent.

摘要

一位71岁的女性因食管鳞状细胞癌接受了新辅助化疗，随后进行了两阶段的Ivor-Lewis食管切除术及两野淋巴结清扫术。四年后，她因胸主动脉与胃管道之间的瘘管出现危及生命的出血，通过置入胸主动脉支架成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1c/3649491/7b48dd8f8b91/jscr-2012-2-8fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1c/3649491/093b7a06f358/jscr-2012-2-8fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1c/3649491/9b809a093b13/jscr-2012-2-8fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1c/3649491/c61b33680521/jscr-2012-2-8fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1c/3649491/a1118277791e/jscr-2012-2-8fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1c/3649491/7b48dd8f8b91/jscr-2012-2-8fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1c/3649491/093b7a06f358/jscr-2012-2-8fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1c/3649491/9b809a093b13/jscr-2012-2-8fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1c/3649491/c61b33680521/jscr-2012-2-8fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1c/3649491/a1118277791e/jscr-2012-2-8fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1c/3649491/7b48dd8f8b91/jscr-2012-2-8fig5.jpg

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Emerg Radiol. 2025 Feb;32(1):113-124. doi: 10.1007/s10140-024-02292-4. Epub 2024 Oct 28.
2
Aortoesophageal Fistula Occurring Due to Aortic Aneurysm.主动脉瘤导致的主动脉食管瘘
Cureus. 2023 Jul 19;15(7):e42148. doi: 10.7759/cureus.42148. eCollection 2023 Jul.
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Commentary: Teamwork is needed to prevent aorto-conduit fistulas from being fatal.

本文引用的文献

1
Perforation of the aorta by acid gastric contents at site of gastroesophagostomy.
Surgery. 1947 Nov;22(5):842-4.
2
Peptic ulceration and perforation of the stomach after oesophagectomy.食管切除术后胃的消化性溃疡和穿孔
Thorax. 1952 Jun;7(2):167-9. doi: 10.1136/thx.7.2.167.
3
Aorto-esophageal fistula: an unusual complication of esophago-gastrostomy, following resection for carcinoma of the esophagus.主动脉食管瘘：食管癌切除术后食管胃吻合术的一种罕见并发症。
Can Med Assoc J. 1961 Jul 1;85(1):27-31.
评论：需要团队合作来防止主动脉-人工血管瘘成为致命性疾病。
JTCVS Tech. 2021 Feb 27;7:336-337. doi: 10.1016/j.xjtc.2021.02.021. eCollection 2021 Jun.
4
Successful management of aorto-conduit fistula after esophagectomy: Tips and tricks to avoid catastrophe.食管癌切除术后主动脉-人工血管瘘的成功处理：避免灾难的技巧与窍门。
JTCVS Tech. 2021 Jan 28;7:333-335. doi: 10.1016/j.xjtc.2021.01.028. eCollection 2021 Jun.
5
Successful management of an aorto-gastric fistula occurring 15 years after oesophagectomy with covered aortic stent graft placement followed by open surgery.食管切除术后15年发生主动脉-胃瘘，成功治疗方法为置入覆膜主动脉支架移植物后行开放手术。
J Surg Case Rep. 2018 Feb 20;2018(2):rjy019. doi: 10.1093/jscr/rjy019. eCollection 2018 Feb.
4
Gastroaortic fistula as an early complication of esophagectomy.胃主动脉瘘作为食管切除术后的早期并发症。
Ann Thorac Surg. 2001 Nov;72(5):1783-8. doi: 10.1016/s0003-4975(00)02569-8.