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Title: Aortoenteric fistula at the site of esophagojejunostomy after laparoscopic total gastrectomy: report of a case.
Authors: Gunji, Shutaro
Okabe, Hiroshi
Obama, Kazutaka  kyouindb  KAKEN_id
Sakai, Yoshiharu
Author's alias: 岡部, 寛
Keywords: Aortoenteric fistula
Laparoscopic total gastrectomy
Overlap anastomosis
Issue Date: 28-Jan-2014
Publisher: Springer Japan
Journal title: Surgery today
Volume: 44
Issue: 11
Start page: 2162
End page: 2166
Abstract: A fistula between the aorta and the digestive tract is a rare complication of gastrointestinal tract or vascular surgery. There are occasional reports of aortoesophageal fistula as a fatal complication after esophagectomy or esophageal stent implantation and of aortoenteric fistula (AEF) as a complication after aortic or other vascular procedures. However, AEF after gastrointestinal surgery is rare. We report a case of AEF after laparoscopic total gastrectomy for advanced gastric cancer, using the so-called overlap method of esophagojejunal anastomosis. The patient was a 77-year-old Japanese woman who underwent laparoscopic total gastrectomy and esophagojejunal anastomosis with Roux-en-Y reconstruction for advanced gastric cancer. Bacterial peritonitis was diagnosed 5 days after the operation, manifesting as partial necrosis and perforation of the small intestine. The patient was treated successfully with laparoscopic partial resection of the small intestine, but ultimately died of massive hematemesis caused by the AEF 30 days after her primary surgery.
Rights: The final publication is available at Springer via http://dx.doi.org/10.1007/s00595-014-0834-3.
この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。This is not the published version. Please cite only the published version.
URI: http://hdl.handle.net/2433/198572
DOI(Published Version): 10.1007/s00595-014-0834-3
PubMed ID: 24468742
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