TEVAR成功治疗食管切除术后主动脉胃管瘘1例报告及文献复习。

IF 0.6 4区医学 Q4 SURGERY

Acta Chirurgica Belgica Pub Date : 2025-03-03 DOI:10.1080/00015458.2025.2470535

Natasha Hasemaki, Dimitrios Schizas, Chrysovalantis Vergadis, Stavros Sougioultzis, Athanasios Katsargyris, Christos Klonaris

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引用次数: 0

摘要

背景：主动脉胃管瘘是食管切除术中一种罕见但致命的并发症，最常见的原因是吻合口漏和消化性溃疡的形成。方法：我们报告一例罕见的55岁男性患者，因食管癌复发而出现胃主动脉-胃管瘘。结果：经胸椎血管内主动脉瓣修复术（TEVAR）治疗，患者吞咽困难得到缓解。结论：虽然腹主胃管瘘是一种极为罕见的疾病，但随着食管癌手术的出现，使得文献对腹主胃管瘘的认识越来越频繁。在此，我们提供了一个全面的文献综述，重点是病理生理学，手术和表现之间的时间间隔，治疗类型和生存的病例报告食管切除术后主动脉胃管瘘。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Post-esophagectomy aortogastric-tube fistula treated successfully with TEVAR: case report and review of the literature.

Background: Aortogastric-tube fistula is a rare but fatal complication of esophagectomy, most commonly induced by anastomotic leakage and peptic ulcer formation.

Methods: We report a rare case of a 55-year-old male patient presenting with an aortogastric-tube fistula located in the gastric conduit due to a recurrence of esophageal carcinoma.

Results: The patient was treated successfully with Thoracic Endovascular Aortic Repair (TEVAR) followed by esophageal stent placement to relieve dysphagia.

Conclusion: Although aortogastric-tube fistula is an extremely rare entity, the advent of esophageal cancer surgery, has led to the recognition of aortogastric-tube fistula with increasing frequency in the literature. Herein, we provide a comprehensive review of the literature, focusing on the pathophysiology, time interval between surgery and presentation, type of treatment and survival of reported cases with post-esophagectomy aortogastric-tube fistula.

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来源期刊

Acta Chirurgica Belgica 医学-外科

CiteScore

1.60

自引率

12.50%

发文量

审稿时长

6-12 weeks

期刊介绍： Acta Chirurgica Belgica (ACB) is the official journal of the Royal Belgian Society for Surgery (RBSS) and its affiliated societies. It publishes Editorials, Review papers, Original Research, and Technique related manuscripts in the broad field of Clinical Surgery.