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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。

Successful management of an aorto-gastric fistula occurring 15 years after oesophagectomy with covered aortic stent graft placement followed by open surgery.

作者信息

Chotai Heena S, Finch Guy, Thomas Davis, Libertiny Gabor

机构信息

Department of Surgery, Northampton General Hospital, Northampton NN1 5BD, UK.

Department of Radiology, Northampton General Hospital, Northampton NN1 5BD, UK.

出版信息

J Surg Case Rep. 2018 Feb 20;2018(2):rjy019. doi: 10.1093/jscr/rjy019. eCollection 2018 Feb.

DOI:10.1093/jscr/rjy019
PMID:29484166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5819724/
Abstract

Aorto-gastric fistula (AGF) is an uncommon and life threatening complication of oesophagectomy. Usually occurring in the immediate weeks following the procedure at anastomosis lines, this case describes a rare development of an AGF 15 years after an oesophagectomy due to the presence of a benign ulcer. Initially successful endovascular stenting of the thoracic aorta was followed by re-bleed, further stenting but eventually open surgery was required.

摘要

主动脉-胃瘘（AGF）是食管切除术后一种罕见且危及生命的并发症。通常发生在术后数周吻合口处，本病例描述了一例因良性溃疡导致食管切除术后15年发生的罕见AGF。最初对胸主动脉进行血管内支架置入术取得成功，但随后再次出血，进行了进一步的支架置入术，最终仍需要进行开放手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce1/5819724/369e4bc3ce6c/rjy019f06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce1/5819724/9434b946d777/rjy019f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce1/5819724/727f01924b34/rjy019f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce1/5819724/2b3a1f2b977d/rjy019f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce1/5819724/54abccd7c037/rjy019f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce1/5819724/af9adcbc06a4/rjy019f05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce1/5819724/369e4bc3ce6c/rjy019f06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce1/5819724/9434b946d777/rjy019f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce1/5819724/727f01924b34/rjy019f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce1/5819724/2b3a1f2b977d/rjy019f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce1/5819724/54abccd7c037/rjy019f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce1/5819724/af9adcbc06a4/rjy019f05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce1/5819724/369e4bc3ce6c/rjy019f06.jpg

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本文引用的文献

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Sentinel bleeding as a sign of gastroaortic fistula formation after oesophageal surgery.哨兵性出血作为食管手术后胃主动脉瘘形成的一种征象。
Case Rep Surg. 2014;2014:614312. doi: 10.1155/2014/614312. Epub 2014 Dec 2.
2
Aorto-conduit fistula developing four years after esophagectomy.食管切除术后四年发生主动脉-人工血管瘘。
J Surg Case Rep. 2012 Feb 1;2012(2):8. doi: 10.1093/jscr/2012.2.8.
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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
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。
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Successful surgical treatment of aortogastric fistula after an esophagectomy and subsequent endovascular graft placement: report of a case.食管切除术后主动脉胃瘘的成功手术治疗及随后的血管内移植物置入：病例报告
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