title: Aorto-oesophageal fistula after oesophageal stent placement in a patient with a Roux-en-Y gastric bypass.
abstract: A 43-year-old female patient suffered from persistent anastomotic leakage after Roux-en-Y gastric bypass for morbid obesity. Endoscopic stenting of the anastomotic leakage was performed. The patient presented with haematemesis 3 weeks later. An aorto-oesophageal fistula was diagnosed, most likely due to ulceration of the oesophageal stent. The fistula was closed with an endovascular covered aortic stent and a new gastrojejunostomy was created. One year after surgery, the patient is in good condition. Endoscopic stents are increasingly being used to treat anastomotic leakage in bariatric patients. An aorto-oesophageal fistula is a life-threatening complication of stent placement, early clinical recognition is essential. More data are needed on the complications of anastomotic stenting in bariatric patients.
authors: MC Slotervaart , Amsterdam , the Netherlands.
authors: T C
authors: TC
authors: Boerlage
authors: MC Slotervaart , Amsterdam , the Netherlands.
authors: H S
authors: HS
authors: Hermanides
authors: MC Slotervaart , Amsterdam , the Netherlands.
authors: D E
authors: DE
authors: Moes
authors: MC Slotervaart , Amsterdam , the Netherlands.
authors: I L
authors: IL
authors: Tan
authors: MC Slotervaart , Amsterdam , the Netherlands.
authors: G M
authors: GM
authors: Houben
authors: MC Slotervaart , Amsterdam , the Netherlands.
authors: Y I
authors: YI
authors: Acherman
mesh_terms: D000328:Adult; D057868:Anastomotic Leak / Q000209:etiology*; D000792:Angiography; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D004937:Esophageal Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects*; D006801:Humans; D015607:Stents / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed
keywords: Anastomotic leakage; Bariatric surgery; Gastric bypass; Oesophageal fistula; Stents