Case Report: Aortoesophageal fistula after radical gastrectomy for cardia cancer: diagnostic problems and successful staged treatment - Takeaways - MDSpire

Case Report: Aortoesophageal fistula after radical gastrectomy for cardia cancer: diagnostic problems and successful staged treatment

  • By

  • Kai Yang

  • Meng Dai

  • May 8, 2026

  • 0 min

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  • 1

    Aortoesophageal fistula (AEF) is a rare but life-threatening complication following radical surgery for gastric cardia cancer.

  • 2

    Initial diagnosis of AEF can be challenging, as symptoms may mimic benign conditions and imaging tests may yield false negatives.

  • 3

    A multi-specialty approach, including emergency stent placement and staged surgeries, is essential for effective management of AEF.

  • 4

    The case highlights the importance of vigilant monitoring and repeat imaging in suspected AEF cases, despite initial negative results.

  • 5

    Successful treatment of AEF can lead to favorable long-term outcomes, contrasting with the historically poor prognosis associated with the condition.

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