Open AccessThree‐stage approach for aortoesophageal fistula after Roux‐en‐Y esophagojejunostomy
Author(s) -
Dai ShuoYing,
Chang ChunHao,
Wang YiChen,
Wen JihSheng,
Liao TingKai,
Lin WeiTing,
Chan RenHao,
Tsai MengTa,
Huang WeiLi
Publication year - 2022
Publication title -
thoracic cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 28
eISSN - 1759-7714
pISSN - 1759-7706
DOI - 10.1111/1759-7714.14446
Subject(s) - medicine , chemoradiotherapy , endoscopic stenting , anastomosis , fistula , roux en y anastomosis , surgery , stage (stratigraphy) , complication , gastrectomy , esophagus , general surgery , cancer , endoscopy , gastric bypass , radiation therapy , paleontology , weight loss , biology , obesity
Abstract Surgical management of post‐esophagojejunostomy aortoesophageal fistula (AEF) has been scarcely reported, but is universally fatal. This report described a case of AEF after total gastrectomy with Roux‐en‐Y esophagojejunostomy and adjuvant chemoradiotherapy for gastric cardiac cancer. A three‐stage hybrid approach was used to successfully manage this complication. First, thoracic endovascular aortic repair curbed bleeding. Second, radical fistula resection eradicated infected areas and adjacent structures. Third, esophageal reconstruction using an ileocolonic conduit restored gastrointestinal continuity. This strategy could be safely feasible for managing post‐esophagojejunostomy AEF.