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Ann Thorac Surg 2001;72:1783-1788
© 2001 The Society of Thoracic Surgeons

Review

Gastroaortic fistula as an early complication of esophagectomy

Carlos Molina-Navarro, FRCSEd*a, Shorland W. Hosking, MDa, Stephen J. Hayward, FRCRb, Alistair D.S. Flowerdew, MSc

a Department of General Surgery, Poole General Hospital, Poole, United Kingdom
b Department of Radiology, Royal United Hospital, Bath, United Kingdom
c Department of General Surgery, Dorset County Hospital, Dorchester, United Kingdom

* Address reprint requests to Mr Molina-Navarro, c/o Salvador Allende no 21, 29620 Torremolinos (Malaga), Spain
e-mail: molinacarlos{at}worldonline.es

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 esophago-gastrectomy 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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Copyright © 2001 by The Society of Thoracic Surgeons.