title: Recurrent high gastrointestinal bleeds after Belsey Mark IV antireflux procedure.
abstract: A 46-year-old woman underwent a Belsey Mark IV antireflux procedure 2 months before admission to the intensive care unit. She had recurrent episodes of major gastrointestinal hemorrhage before the diagnosis of an aortoesophageal fistula was made by computed tomographic scan. A successful urgent endovascular repair was performed in combination with prolonged antibiotic treatment. The patient recovered well after a hospital stay of 3 months, and is still in clinical follow-up at our hospital >2 years after diagnosis.
authors.affiliation: Department of Cardiology, KULeuven, Leuven, Belgium. philippe_timmermans3570@hotmail.com
authors.forename: Philippe
authors.initials: P
authors.lastname: Timmermans
authors.forename: Philippe
authors.initials: P
authors.lastname: Nafteux
authors.forename: Inge
authors.initials: I
authors.lastname: Forneau
authors.forename: Johny
authors.initials: J
authors.lastname: Verschaekelen
authors.forename: Greet
authors.initials: G
authors.lastname: Hermans
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001018:Aortic Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004452:Echocardiography; D057510:Endovascular Procedures; D004937:Esophageal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005260:Female; D005402:Fistula / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D018662:Fundoplication / Q000009:adverse effects*; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005773:Gastroscopy; D006801:Humans; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents