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Gastroaortic fistula as an early complication of esophagectomy
C Molina-Navarro1, S W Hosking, S J Hayward
1Department of General Surgery, Poole General Hospital, United Kingdom. molinacarlos@worldonline.es
Abstract:
Gastroaortic fistula following esophagogastrectomy is an uncommon and invariably fatal complication without urgent surgical intervention. We report 1 such case and review the world literature identifying 22 previous cases. It characteristically presents 2 to 3 weeks after esophagogastrectomy with an initial herald bleed, followed by a latent period with a mean duration of 10 hours (range: 30 minutes to 3 days) and final exsanguination. Only 1 patient in this series survived. Awareness is necessary to allow prompt diagnosis and treatment of this almost invariably lethal but curable condition.
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