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Published on: August 22, 2025
Recurrent high gastrointestinal bleeds after Belsey Mark IV antireflux procedure
Philippe Timmermans1, Philippe Nafteux, Inge Forneau
1Department of Cardiology, KULeuven, Leuven, Belgium. philippe_timmermans3570@hotmail.com
Abstract:
A 46-year-old woman underwent a Belsey Mark IV antireflux procedure 2 months before admission to the intensive care unit. She had recurrent episodes of major gastrointestinal hemorrhage before the diagnosis of an aortoesophageal fistula was made by computed tomographic scan. A successful urgent endovascular repair was performed in combination with prolonged antibiotic treatment. The patient recovered well after a hospital stay of 3 months, and is still in clinical follow-up at our hospital >2 years after diagnosis.
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