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Combined endovascular stent grafting and endoscopic injection of fibrin sealant for aortoenteric fistula complicating esophagectomy.

Abstract：

:A 67-year-old man with previous total gastrectomy and roux-en-Y esophagojejunostomy had hematemesis 4 weeks after esophagectomy performed because of carcinoma of the esophagus. Investigation showed an aortojejunal fistula with a thoracic aortic pseudoaneurysm. Endovascular stent grafting of the pseudoaneurysm, followed by endoscopic injection of fibrin sealant for the fistula, was performed, and the infection was controlled with broad-spectrum antibiotic agents together with drainage and daily irrigation of the pseudoaneurysm sac. The fistula subsequently healed. The patient remained well 14 months after the procedure; follow-up computed tomograms at 12 months did not show any pseudoaneurysm, and there was no evidence of reopening of the fistula.

journal_name

J Vasc Surg

journal_title

Journal of vascular surgery

authors

Mok VW,Ting AC,Law S,Wong KH,Cheng SW,Wong J

doi

10.1016/j.jvs.2004.08.044

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

1234-7

issue

6

eissn

0741-5214

issn

1097-6809

pii

S074152140401136X

journal_volume

40

pub_type

杂志文章

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