Annals of the Royal College of Surgeons of England · 2016
Aorto-oesophageal fistula after oesophageal stent placement in a patient with a Roux-en-Y gastric bypass.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Boerlage T C, Hermanides H S, Moes D E, Tan I L, Houben G M, Acherman Y I
Аннотация
A 43-year-old female patient suffered from persistent anastomotic leakage after Roux-en-Y gastric bypass for morbid obesity. Endoscopic stenting of the anastomotic leakage was performed. The patient presented with haematemesis 3 weeks later. An aorto-oesophageal fistula was diagnosed, most likely due to ulceration of the oesophageal stent. The fistula was closed with an endovascular covered aortic stent and a new gastrojejunostomy was created. One year after surgery, the patient is in good condition. Endoscopic stents are increasingly being used to treat anastomotic leakage in bariatric patients. An aorto-oesophageal fistula is a life-threatening complication of stent placement, early clinical recognition is essential. More data are needed on the complications of anastomotic stenting in bariatric patients.