A Case of Secondary Aortoesophageal Fistula Inserted a Covered Self-Expanding Esophageal Stent to Control Gastrointestinal Bleeding. (28th May 2013)

• Record Type: Journal Article
• Authors: Onodera, Makoto; Inoue, Yoshihiro; Fujino, Yasuhisa; Kikuchi, Satoshi; Endo, Shigeatsu
• Other Names: Abraham P. Academic Editor.; Akiho H. Academic Editor.
• Is Part Of: Case reports in gastrointestinal medicine. Volume 2013(2013)
• Publication Date: 2013-05-28
• Subjects: Gastroenterology -- Case studies -- Periodicals; Digestive organs -- Diseases -- Periodicals; Gastroenterology; Gastrointestinal Diseases; Digestive organs -- Diseases; Gastroenterology; Electronic journals; Periodicals; Case studies; Periodicals; 616.33
• DOI: 10.1155/2013/857135
• Languages: English
• ISSNs: 2090-6528

Abstract

Abstract : A 73-year-old man presented with melena. After a thorough workup including esophageal endoscopy, computed tomography scans, and esophagography, the diagnosis of secondary aortoesophageal fistula was made. Two years previously, he had undergone endovascular stent-graft repair for the dissection of his descending thoracic aorta. Because of the generally poor condition of the patient and the high risk of any aggressive surgical intervention, we inserted a covered self-expanding esophageal stent on postadmission day 18. Esophagography after insertion did not show any evidence of a leak of contrast medium. Despite treatment with antibiotics, he developed sepsis and expired on day 52, but rebleeding did not occur in this period. We consider insertion of a covered self-expanding esophageal stent as a feasible option in the management of secondary aortoesophageal fistula in high-risk patients.