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Updated: Jul 19, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Timely Endoscopic Recognition of Aortoesophageal Fistula With Successful Treatment
Tim Brotherton1, Laith Numan2, Samer Al-Kaade3
1Department of Internal Medicine, Saint Louis University, Saint Louis, MO.
Abstract:
Aortoesophageal fistula (AEF) is a devastating cause of upper gastrointestinal bleeding that occurs because of pathologic communication of the esophagus with the aorta. Bleeding AEF has high mortality even with appropriate interventions. In this study, we present a case of a 52-year-old man who presented with hematemesis, which was found to be due to an actively bleeding AEF. Prompt identification of the fistula led to multiple endoscopic interventions that stabilized the patient and allowed him to undergo emergent endovascular aortic stent placement with successful bleeding control.
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