Evidence map›Paper›PMID 42525083›Full record

ArticleSurgery today2026

Clinical presentation and staged multidisciplinary management of aortoesophageal fistula.

Hengxing Liang, Jing Deng, Qianqian Yao, Yang Sun, Jiayu Zhang, Xiang Wang, Shanxia Tang, Jiaying Jiang, Fenglei Yu, Qiang Wu and 1 more

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Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

11 authors.

Hengxing LiangDepartment of Thoracic Surgery, The Second Xiangya Hospital of Central South University, No.139 Middle Renmin Road, Changsha, Hunan, 410011, People's Republic of China.
Jing DengDepartment of Thoracic Surgery, The Second Xiangya Hospital of Central South University, No.139 Middle Renmin Road, Changsha, Hunan, 410011, People's Republic of China.
Qianqian YaoDepartment of Stomatology, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, People's Republic of China.
Yang SunDepartment of Thoracic Surgery, Guilin Hospital of the Second Xiangya Hospital, Central South University, Guilin, Guangxi, People's Republic of China.
Jiayu ZhangDepartment of Thoracic Surgery, The Second Xiangya Hospital of Central South University, No.139 Middle Renmin Road, Changsha, Hunan, 410011, People's Republic of China.
Xiang WangDepartment of Thoracic Surgery, The Second Xiangya Hospital of Central South University, No.139 Middle Renmin Road, Changsha, Hunan, 410011, People's Republic of China.
Shanxia TangDepartment of Thoracic Surgery, The Second Xiangya Hospital of Central South University, No.139 Middle Renmin Road, Changsha, Hunan, 410011, People's Republic of China.
Jiaying JiangDepartment of Thoracic Surgery, Guilin Hospital of the Second Xiangya Hospital, Central South University, Guilin, Guangxi, People's Republic of China.
Fenglei YuDepartment of Thoracic Surgery, The Second Xiangya Hospital of Central South University, No.139 Middle Renmin Road, Changsha, Hunan, 410011, People's Republic of China.
Qiang WuDepartment of Thoracic Surgery, The Second Hospital of Dalian Medical University, Dalian, 116023, People's Republic of China.
Xue HeDepartment of Thoracic Surgery, The Second Xiangya Hospital of Central South University, No.139 Middle Renmin Road, Changsha, Hunan, 410011, People's Republic of China. hexuehuxi@csu.edu.cn.

Funding

the Guangxi Natural Science Foundation No. 2024GXNSFAA010047 and No. 2026GXNSFAA00640295the Health Research Project of Hunan Provincial Health Commission No. W20243115the National Natural Science Foundation of China No. 82302449, No. 82360377the Natural Science Foundation of Hunan Province No. 2023JJ60081 and No. 2026JJ60080
6 · The paper itself

Abstract

purposesTo describe the clinical presentation, staged management strategies, and the outcomes of patients with aortoesophageal fistula (AEF) in a single-center institutional series.

methodsWe retrospectively reviewed confirmed AEF cases treated at our institution between 2009 and 2023. The cases were described according to etiology, clinical presentation, baseline severity, prior aortic intervention, treatment pathway, and outcomes.

resultsEighteen patients were included: 13 with primary AEF and 5 with secondary post-TEVAR. The most frequent presenting symptoms were hematemesis, often accompanied by chest pain, melena, or fever. Contrast-enhanced CT or computed tomography angiography (CTA) is the primary diagnostic modality. TEVAR is frequently used as an initial strategy for hemorrhage control. Multidisciplinary management, including operative control, anti-infective therapy, and nutritional support, is commonly used to manage these patients.

conclusionsIn our cohort, CTA was commonly used as the primary diagnostic modality for suspected AEF, and TEVAR was the initial strategy for hemorrhage control. Management in this cohort often involved staged multidisciplinary coordination, focusing on hemostasis, infection control, and delayed reconstruction. These findings should be interpreted as descriptive and hypothesis-generating.

Indexed as

Aortic dissectionAortoesophageal fistulaForeign bodyTEVARTreatment

Identifiers

PMID42525083

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