Aorto-Esophageal Fistula: A Rare Fatal Case of Gastrointestinal Hemorrhage Caused by Foreign Body
Omar Toumi,
Sadok Ben Jabra,
Ammar Mahmoudi,
Hanene Zenati,
Mohamed Ben Khlifa,
Wassim Kallel,
Khadija Zouari,
Noomen Faouzi,
Abdelaziz Hamdi
Issue:
Volume 3, Issue 1, February 2015
Pages:
1-3
Received:
27 November 2014
Accepted:
29 December 2014
Published:
17 January 2015
Abstract: Aorto-oesophageal fistula (AOF) is a rare cause of upper gastro-intestinal hemorrhage. A fistulous tract develops between the aorta and the esophagus most commonly in association with thoracic aortic aneurysms, foreign bodies, esophageal malignancy, and the presence of an aortic prosthetic graft or following trauma [1]. High mortality still accompanies the cases [2]. We report a case of AEF caused by a fish bone. Computed tomography demonstrated a fistula from the proximal descending thoracic aorta to the mid esophagus.This patient died when rupture into the esophageal lumen caused exsanguinating hemorrhage.Their clinical causes and treatment are reviewed and discussed below.
Abstract: Aorto-oesophageal fistula (AOF) is a rare cause of upper gastro-intestinal hemorrhage. A fistulous tract develops between the aorta and the esophagus most commonly in association with thoracic aortic aneurysms, foreign bodies, esophageal malignancy, and the presence of an aortic prosthetic graft or following trauma [1]. High mortality still accompa...
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Laser Vaporization of Inoperable Esophageal and Rectal Cancer. Why We Use this Therapy
Leszek Stefanski,
Pawel Lampe
Issue:
Volume 3, Issue 1, February 2015
Pages:
4-7
Received:
3 November 2014
Accepted:
12 December 2014
Published:
23 January 2015
Abstract: Laser therapy of esophageal or rectal cancer gives opportunity to withdraw temporarily symptoms of dysphagia or obstruction due to immediate vaporization of exophytic part of neoplastic tumor and exfoliation of coagulated deeper tissue. This therapy improves life comfort of patients suffering from esophageal and rectal cancer in cases when radical therapy is impossible. 58 laser vaporization of esophageal cancer in inoperable patients with ASA IV and V were performed from January 2008 to October 2011. 42 suffered from squamous-cell cancer, 16 – from esophageal adenocarcinoma localized endoscopically from 20 to 40 cm, administering 2 – 9 kJ of heat. Also 18 laser vaporisations of rectal cancer were performed, administering 4 - 18 kJ of heat. 1,6 sessions (1-5 sessions) with high-energy laser were performed on average, adjusting laser power for 70 W and performing photo-destruction of the esophageal neoplastic tumor with mortality of 2%. The average for rectal cancer were 1,1 sessions (1-2) with time asymptomatic of subileus from 8 to 33 months, mortality 5,5%. Laser vaporisation of gastrointestinal tract lesions is: 1. Alternative action in relation to other procedures regarding restoration of patency of the esophagus and the rectum in inoperable patients; 2. It is distinguished by short hospitalization time and low complications rate.
Abstract: Laser therapy of esophageal or rectal cancer gives opportunity to withdraw temporarily symptoms of dysphagia or obstruction due to immediate vaporization of exophytic part of neoplastic tumor and exfoliation of coagulated deeper tissue. This therapy improves life comfort of patients suffering from esophageal and rectal cancer in cases when radical ...
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