Radiation therapy-induced aortoesophageal fistula:a case report and review of literature

作     者：Malav P.Parikh Muhammed Sherid Sreelakshmi Panginikkod Harsh A.Rawal Venu Gopalakrishnan 

作者机构：Department of Internal MedicineDivision of Gastroenterology and HepatologyPresence Saint Francis HospitalEvanstonIllinoisUSA Department of Gastroenterology and HepatologyGeorgia Regents UniversityAugustaGeorgiaUSA Department of Internal MedicineGovernment Medical College CalicutKeralaIndia 

出 版 物：《Gastroenterology Report》 (胃肠病学报道（英文）)

年 卷 期：2016年第4卷第2期

页      面：165-167,I0003页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：gastrointestinal hemorrhage aortoesophageal fistula radiation therapy transthoracic endovascular aortic repair 

摘      要：Aortoesophageal fistula(AEF)is a rare cause of massive upper gastrointestinal *** aortic aneurysm,esophageal foreign body,esophageal cancer and post-surgical complications are common causes of AEF;however,AEF induced by radiation therapy is a rare phenomenon and seldom described in the *** is a catastrophic condition which requires rapid implementation of resuscitative measures,broad-spectrum antibiotics and surgical or endovascular *** endovascular aortic repair(TEVAR)is a newer and less invasive technique,which helps to achieve rapid hemostasis in patients with severe hemodynamic instability and offers advantages over conventional repair of the aorta in emergency *** initial TEVAR should be followed up with a more definitive surgical repair of the aorta and the esophagus,to lower the mortality rate and achieve better *** describe here a case of a seventyyear-old male who presented with massive upper gastrointestinal bleeding due to AEF induced by radiation therapy,and his subsequent successful initial management with TEVAR.