20毫米管腔贴合金属支架置入治疗难治性食管空肠吻合口狭窄并发致命性主动脉食管瘘
Fatal Aortoesophageal Fistula Complicating Placement of a 20-mm Lumen-Apposing Metal Stent for Refractory Esophagojejunal Anastomotic Stricture.
作者信息
Patel Rupal H, Everett Brendan T, Akselrod Dmitriy, Frasca Joseph D, Gordon Stuart R
机构信息
Section of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH.
Division of Gastroenterology, University of Vermont Medical Center, Burlington, VT.
出版信息
ACG Case Rep J. 2021 Mar 19;8(3):e00548. doi: 10.14309/crj.0000000000000548. eCollection 2021 Mar.
We report the case of a patient with a benign refractory esophagojejunal anastomotic stricture for which a 20-mm lumen-apposing metal stent was placed, resulting in a fatal aortoenteric fistula. We report this case to alert others to this potential complication of LAMS placement for esophageal strictures and recommend caution when using the 20-mm LAMS in similar settings.
我们报告了一例患有良性难治性食管空肠吻合口狭窄的患者，为其置入了一个20毫米的管腔贴合金属支架，结果导致致命的主动脉肠瘘。我们报告此病例以提醒其他人注意放置自膨式金属支架治疗食管狭窄时的这种潜在并发症，并建议在类似情况下使用20毫米自膨式金属支架时要谨慎。
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