caa a22 4500 60620461X CHVBK 20210128101003.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s10388-014-0476-y doi (NATIONALLICENCE)springer-10.1007/s10388-014-0476-y Successful treatment of aortogastric fistula after esophagectomy [Elektronische Daten] [Akihiko Okamura, Hirofumi Kawakubo, Hiroya Takeuchi, Tatsuya Shimogawara, Kentaro Matsubara, Hideaki Obara, Takashi Oyama, Tatsuhiko Hoshikawa, Makoto Nakamaru, Keiichi Sotome, Kyoei Morozumi, Takashi Hachiya, Hideyuki Shimizu, Yuko Kitagawa] Aortogastric fistula is a rare and lethal complication after esophagectomy. We report a case of an aortogastric fistula due to a peptic ulcer after esophagectomy for esophageal carcinoma, in which treatment with surgery and endovascular stent graft repair was successful. A 67-year-old woman underwent esophagectomy for esophageal carcinoma and reconstruction with a gastric tube through the posterior mediastinal route. Eleven years later, she experienced massive hematemesis and severe shock due to an aortogastric fistula, although there was no evidence of cancer recurrence. The fistula was obliterated surgically and the perforated aorta was directly closed. However, a pseudoaneurysm located at the closure site on the aortic wall developed postoperatively. An endovascular thoracic aortic stent graft was placed successfully, and she was discharged after intensive care. Thus, we present the very rare case of an aortogastric fistula formed following esophagectomy that was successfully treated with surgery and endovascular stent graft repair. The Japan Esophageal Society and Springer Japan, 2014 Aortogastric fistula nationallicence Endovascular stent graft repair nationallicence Esophagectomy nationallicence Peptic ulcer nationallicence Okamura Akihiko Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan aut Kawakubo Hirofumi Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan aut Takeuchi Hiroya Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan aut Shimogawara Tatsuya Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan aut Matsubara Kentaro Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan aut Obara Hideaki Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan aut Oyama Takashi Department of Surgery, Fussa Hospital, 1-6-1 Kamidaira, 197-8511, Fussa, Tokyo, Japan aut Hoshikawa Tatsuhiko Department of Surgery, Fussa Hospital, 1-6-1 Kamidaira, 197-8511, Fussa, Tokyo, Japan aut Nakamaru Makoto Department of Surgery, Fussa Hospital, 1-6-1 Kamidaira, 197-8511, Fussa, Tokyo, Japan aut Sotome Keiichi Department of Surgery, Fussa Hospital, 1-6-1 Kamidaira, 197-8511, Fussa, Tokyo, Japan aut Morozumi Kyoei Department of Surgery, Fussa Hospital, 1-6-1 Kamidaira, 197-8511, Fussa, Tokyo, Japan aut Hachiya Takashi Department of Cardiovascular Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan aut Shimizu Hideyuki Department of Cardiovascular Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan aut Kitagawa Yuko Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan aut Esophagus Springer Japan 12/4(2015-10-01), 387-391 1612-9059 12:4<387 2015 12 10388 https://doi.org/10.1007/s10388-014-0476-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10388-014-0476-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Okamura Akihiko Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan aut NATIONALLICENCE 700 1- Kawakubo Hirofumi Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan aut NATIONALLICENCE 700 1- Takeuchi Hiroya Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan aut NATIONALLICENCE 700 1- Shimogawara Tatsuya Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan aut NATIONALLICENCE 700 1- Matsubara Kentaro Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan aut NATIONALLICENCE 700 1- Obara Hideaki Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan aut NATIONALLICENCE 700 1- Oyama Takashi Department of Surgery, Fussa Hospital, 1-6-1 Kamidaira, 197-8511, Fussa, Tokyo, Japan aut NATIONALLICENCE 700 1- Hoshikawa Tatsuhiko Department of Surgery, Fussa Hospital, 1-6-1 Kamidaira, 197-8511, Fussa, Tokyo, Japan aut NATIONALLICENCE 700 1- Nakamaru Makoto Department of Surgery, Fussa Hospital, 1-6-1 Kamidaira, 197-8511, Fussa, Tokyo, Japan aut NATIONALLICENCE 700 1- Sotome Keiichi Department of Surgery, Fussa Hospital, 1-6-1 Kamidaira, 197-8511, Fussa, Tokyo, Japan aut NATIONALLICENCE 700 1- Morozumi Kyoei Department of Surgery, Fussa Hospital, 1-6-1 Kamidaira, 197-8511, Fussa, Tokyo, Japan aut NATIONALLICENCE 700 1- Hachiya Takashi Department of Cardiovascular Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan aut NATIONALLICENCE 700 1- Shimizu Hideyuki Department of Cardiovascular Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan aut NATIONALLICENCE 700 1- Kitagawa Yuko Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan aut NATIONALLICENCE 773 0- Esophagus Springer Japan 12/4(2015-10-01), 387-391 1612-9059 12:4<387 2015 12 10388