Aortoduodenal Fistula from Duodenal Stenting for Malignant Gastric Obstruction

被引:0
|
作者
Bacopanos, Eleni [1 ]
Jansen, Shirley [1 ,2 ,3 ,4 ]
Hockley, Joe [1 ,2 ,3 ]
机构
[1] Sir Charles Gairdner Hosp, Dept Vasc & Endovascular Surg, Perth, WA, Australia
[2] Curtin Univ, Curtin Med Sch, Perth, WA USA
[3] Harry Perkins Med Res Inst, Heart & Vasc Res Inst, Perth, WA, Australia
[4] Univ Western Australia, Perth, WA, Australia
关键词
Aortoduodenal fistula; Duodenal stent; Endovascular aortic repair; Haemostasis; Upper gastrointestinal bleeding;
D O I
10.1016/j.ejvsvf.2022.08.002
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction: Aortoduodenal fistula (ADF) is a rare cause of upper gastrointestinal (GI) bleeding and is usually fatal without intervention. A high index of suspicion is required to identify and successfully manage this condition. Report: Three cases of ADF following duodenal stent insertion for gastric outflow obstruction secondary to metastatic adenocarcinoma are presented. All presented with upper GI bleeding and underwent emergency percutaneous endovascular aortic stent graft repair (EVAR), with temporary aortic balloon occlusion in one case. All were successful in achieving haemostasis. The first case, although initially complicated by acute stent thrombosis of the right iliac limb, was discharged to a rehabilitation facility and survived for two years. The second patient died two days after the procedure from sepsis related complications. The third was discharged home six days post-procedure with a three month follow up. Conclusion: A high suspicion for ADF in patients with previous duodenal stents is required for prompt diagnosis and management. EVAR may increase short to midterm life expectancy.(c) 2022 The Authors. Published by Elsevier Ltd on behalf of European Society for Vascular Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Article history: Received 21 March 2022, Revised 11 August 2022, Accepted 24 August 2022, gastrointestinal bleeding
引用
收藏
页码:1 / 4
页数:4
相关论文
共 50 条
  • [31] Endoscopic ultrasound gastroenterostomy vs duodenal stenting for malignant gastric outlet obstruction: Cost-effectiveness study
    Ramai, Daryl
    Nelson, Richard
    Chaiyakunapruk, Nathorn
    Ofosu, Andrew
    Fang, John C.
    ENDOSCOPY INTERNATIONAL OPEN, 2025, 13
  • [32] Palliative endoscopic stenting in malignant duodenal obstruction an alternative to surgical gastroenterostomy?
    Bittinger, M
    Eberl, T
    Scheubel, R
    Fleischmann, R
    Messmann, H
    GASTROINTESTINAL ENDOSCOPY, 2004, 59 (05) : AB161 - AB161
  • [33] Endoscopic Double Stenting for the Management of Combined Malignant Biliary and Duodenal Obstruction
    Takeda, Tsuyoshi
    Sasaki, Takashi
    Okamoto, Takeshi
    Sasahira, Naoki
    JOURNAL OF CLINICAL MEDICINE, 2021, 10 (15)
  • [34] Comparison of Duodenal Stenting and Gastrojejunostomy for Duodenal Obstruction with Biliary Obstruction
    Hirofumi Harima
    Seiji Kaino
    Yuko Fujimoto
    Shogo Amano
    Michitaka Kawano
    Shigeyuki Suenaga
    Toshiyuki Uekitani
    Manabu Sen-Yo
    Miyuki Kaino
    Taro Takami
    Isao Sakaida
    Journal of Gastrointestinal Surgery, 2022, 26 : 1853 - 1862
  • [35] Comparison of Duodenal Stenting and Gastrojejunostomy for Duodenal Obstruction with Biliary Obstruction
    Harima, Hirofumi
    Kaino, Seiji
    Fujimoto, Yuko
    Amano, Shogo
    Kawano, Michitaka
    Suenaga, Shigeyuki
    Uekitani, Toshiyuki
    Sen-Yo, Manabu
    Kaino, Miyuki
    Takami, Taro
    Sakaida, Isao
    JOURNAL OF GASTROINTESTINAL SURGERY, 2022, 26 (09) : 1853 - 1862
  • [36] Laparoscopic gastrojejunostomy versus duodenal stenting in unresectable gastric cancer with gastric outlet obstruction
    Min, Sa-Hong
    Son, Sang-Yong
    Jung, Do-Hyun
    Lee, Chang-Min
    Ahn, Sang-Hoon
    Park, Do Joong
    Kim, Hyung-Ho
    ANNALS OF SURGICAL TREATMENT AND RESEARCH, 2017, 93 (03) : 130 - 136
  • [37] Endoscopic ultrasound-guided choledochoduodenostomy and duodenal stenting for combined malignant biliary and duodenal obstruction
    Wong, Yu Jun
    Teh, Jonathan Guo Xiang
    Khor, Christopher
    Tan, Damien Meng Yew
    ENDOSCOPY, 2019, 51 (12) : E394 - E395
  • [38] Technical success of endoscopic stenting for malignant gastric outlet obstruction
    Tait, D.
    Scriba, M. F.
    Robinson, C.
    Jonas, E. G.
    Chinnery, G. E.
    SOUTH AFRICAN JOURNAL OF SURGERY, 2023, 61 (04) : 52 - 52
  • [39] Antroduodenal Stenting for Malignant Gastric Outlet Obstruction: Technique and Outcome
    Ghoshal, Uday C.
    Kumar, Vinay
    JOURNAL OF DIGESTIVE ENDOSCOPY, 2019, 10 (01) : 21 - 27
  • [40] COMBINED ENDOSCOPIC STENTING FOR CONCOMITANT MALIGNANT GASTRIC OUTLET OBSTRUCTION AND MALIGNANT BILIARY OBSTRUCTION: DATA FROM A SINGLE REFERRAL CENTER
    Scimeca, D.
    Mocciaro, F.
    Amata, M.
    Bonaccorso, A.
    Conte, E.
    Lo Mastro, M.
    D'Agostino, D.
    Scrivo, B.
    Cali, A.
    Di Mitri, R.
    DIGESTIVE AND LIVER DISEASE, 2022, 54 : S121 - S122