Aotric esophageal fistula: etiopathogenesis and diagnostics (review of literature)
Aortic esophageal fistula (AEF) is a rare but extremely life-threatening condition requiring immediate surgical treatment. The mortality rate among such patients may exceed 60 %, including after surgical treatment. Etiological and pathogenetic mechanisms of AEF are complex and various, but in most c...
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2021-04-01
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| Series: | Вестник хирургии имени И.И. Грекова |
| Subjects: | |
| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/1474 |
| _version_ | 1797877509026480128 |
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| author | R. Sh. Muslimov Sh. N. Danielyan I. E. Popova N. R. Chernaya |
| author_facet | R. Sh. Muslimov Sh. N. Danielyan I. E. Popova N. R. Chernaya |
| author_sort | R. Sh. Muslimov |
| collection | DOAJ |
| description | Aortic esophageal fistula (AEF) is a rare but extremely life-threatening condition requiring immediate surgical treatment. The mortality rate among such patients may exceed 60 %, including after surgical treatment. Etiological and pathogenetic mechanisms of AEF are complex and various, but in most cases, they are associated with chronic aortic diseases. The second group of etiological factors of AEF includes trauma of esophagus wall by foreign bodies, malignant neoplasms of the esophagus or mediastinum. AEF may also occur as a result of surgical interventions on the aorta and esophagus. The difficulties of early diagnosis are primarily associated with non-specific clinical manifestations of AEF and the lack of unified protocol for the examination of patients with the first-time upper gastrointestinal tract bleeding. The described reasons in some cases can lead to an inaccurate diagnosis, which entails a loss of time. Among the instrumental diagnostic methods, the most informative is the combination of esophagogastroduodenoscopy and computed tomography of the chest with intravenous contrast enhancement. Each of these methods has its advantages and disadvantages, and allows to identify a number of direct and indirect signs of pathological communication between the aorta and the esophagus. |
| first_indexed | 2024-04-10T02:19:22Z |
| format | Article |
| id | doaj.art-3beb66f61d344f7e84e956ad90af0bdb |
| institution | Directory Open Access Journal |
| issn | 0042-4625 |
| language | Russian |
| last_indexed | 2024-04-10T02:19:22Z |
| publishDate | 2021-04-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj.art-3beb66f61d344f7e84e956ad90af0bdb2023-03-13T08:09:19ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252021-04-011796899310.24884/0042-4625-2020-179-6-89-931194Aotric esophageal fistula: etiopathogenesis and diagnostics (review of literature)R. Sh. Muslimov0Sh. N. Danielyan1I. E. Popova2N. R. Chernaya3N. V. Sklifosovsky Research Institute for Emergency MedicineN. V. Sklifosovsky Research Institute for Emergency MedicineN. V. Sklifosovsky Research Institute for Emergency MedicineN. V. Sklifosovsky Research Institute for Emergency MedicineAortic esophageal fistula (AEF) is a rare but extremely life-threatening condition requiring immediate surgical treatment. The mortality rate among such patients may exceed 60 %, including after surgical treatment. Etiological and pathogenetic mechanisms of AEF are complex and various, but in most cases, they are associated with chronic aortic diseases. The second group of etiological factors of AEF includes trauma of esophagus wall by foreign bodies, malignant neoplasms of the esophagus or mediastinum. AEF may also occur as a result of surgical interventions on the aorta and esophagus. The difficulties of early diagnosis are primarily associated with non-specific clinical manifestations of AEF and the lack of unified protocol for the examination of patients with the first-time upper gastrointestinal tract bleeding. The described reasons in some cases can lead to an inaccurate diagnosis, which entails a loss of time. Among the instrumental diagnostic methods, the most informative is the combination of esophagogastroduodenoscopy and computed tomography of the chest with intravenous contrast enhancement. Each of these methods has its advantages and disadvantages, and allows to identify a number of direct and indirect signs of pathological communication between the aorta and the esophagus.https://www.vestnik-grekova.ru/jour/article/view/1474aortic esophageal fistulaupper gastrointestinal bleedingaortic aneurysmaortic dissectionesophagogastroduodenoscopycomputed tomography |
| spellingShingle | R. Sh. Muslimov Sh. N. Danielyan I. E. Popova N. R. Chernaya Aotric esophageal fistula: etiopathogenesis and diagnostics (review of literature) Вестник хирургии имени И.И. Грекова aortic esophageal fistula upper gastrointestinal bleeding aortic aneurysm aortic dissection esophagogastroduodenoscopy computed tomography |
| title | Aotric esophageal fistula: etiopathogenesis and diagnostics (review of literature) |
| title_full | Aotric esophageal fistula: etiopathogenesis and diagnostics (review of literature) |
| title_fullStr | Aotric esophageal fistula: etiopathogenesis and diagnostics (review of literature) |
| title_full_unstemmed | Aotric esophageal fistula: etiopathogenesis and diagnostics (review of literature) |
| title_short | Aotric esophageal fistula: etiopathogenesis and diagnostics (review of literature) |
| title_sort | aotric esophageal fistula etiopathogenesis and diagnostics review of literature |
| topic | aortic esophageal fistula upper gastrointestinal bleeding aortic aneurysm aortic dissection esophagogastroduodenoscopy computed tomography |
| url | https://www.vestnik-grekova.ru/jour/article/view/1474 |
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