Multifactorial dyspahgia complicated by esophago-bronchial fistula

Sebastian, Julie; Kirankumar, V S; Pappachan, Joseph M; Zachariah, Sue Ann; Radha, TR; Sujathan, P

doi:10.4103/0973-1482.34691

Cited by 7 publications

(1 citation statement)

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“…Occasionally, malignancies are detected incidentally during laparotomy [22] or following an endoscopic procedure such as bronchoscopy [20], upper gastrointestinal [21], or lower gastrointestinal [23] endoscopy. Virtual colonography [3, 24, 25] or whole-body CT scanning [26] was recommended by some as a more cost-effective strategy to use in population-based screening programmes but not widely accepted.…”

Section: Investigationsmentioning

confidence: 99%

Management of Concomitant Cancer and Abdominal Aortic Aneurysm

Jibawi¹,

Ahmed²,

El-Sakka³

et al. 2011

Cardiology Research and Practice

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Background. The coexistence of neoplasm and abdominal aortic aneurysm (AAA) presents a real management challenge. This paper reviews the literature on the prevalence, diagnosis, and management dilemmas of concurrent visceral malignancy and abdominal aortic aneurysm. Method. The MEDLINE and HIGHWIRE databases (1966-present) were searched. Papers detailing relevant data were assessed for quality and validity. All case series, review articles, and references of such articles were searched for additional relevant papers. Results. Current challenges in decision making, the effect of major body-cavity surgery on an untreated aneurysm, the effects of major vascular surgery on the treatment of malignancy, the use of EVAR (endovascular aortic aneurysm repair) as a fairly low-risk procedure and its role in the management of malignancy, and the effect of other challenging issues such as the use of adjuvant therapy, and patients informed decision-making were reviewed and discussed. Conclusion. In synchronous malignancy and abdominal aortic aneurysm, the most life-threatening lesion should be addressed first. Endovascular aneurysm repair where possible, followed by malignancy resection, is becoming the preferred initial treatment choice in most centres.

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Section: Investigationsmentioning

confidence: 99%

Management of Concomitant Cancer and Abdominal Aortic Aneurysm

Jibawi¹,

Ahmed²,

El-Sakka³

et al. 2011

Cardiology Research and Practice

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Dysphagia aortica

et al. 2021

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Summary Background Dysphagia aortica is an umbrella term to describe swallowing obstruction from external aortic compression secondary to a dilated, tortuous, or aneurysmal aorta. We performed a systematic literature review to clarify clinical features and outcomes of patients with dysphagia aortica. Materials and methods We searched PubMed, EMBASE, Web of Science, and the Cochrane Library. The terms “aortic dysphagia,” “dysphagia aortica,” “dysphagia AND aortic aneurysm” were matched. We also queried the prospectively updated database of our esophageal center to identify patients with aortic dysphagia referred for diagnosis and treatment over the past two decades. Results A total of 57 studies including 69 patients diagnosed with dysphagia aortica were identified, and one patient from our center was added to the database. The mean age was 72 years (range 22–98), and the male to female ratio 1.1:1. Of these 70 patients, the majority (n = 63, 90%) had an aortic aneurysm, pseudoaneurysm, or dissection. Overall, 37 (53%) patients received an operative treatment (81.1% a vascular procedure, 13.5% a digestive tract procedure, 5.4% both procedures). Thoracic endovascular aortic repair (TEVAR) accounted for 60% of all vascular procedures. The postoperative mortality rate was 21.2% (n = 7/33). The mortality rate among patients treated conservatively was 55% (n = 11/20). Twenty-six (45.6%) studies were deemed at a high risk of bias. Conclusion Dysphagia aortica is a rare clinical entity with high morbidity and mortality rates and no standardized management. Early recognition of dysphagia and a high suspicion of aortoesophageal fistula may be lifesaving in this patient population.

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