Aberrant right subclavian artery-esophageal fistula: A cause of overwhelming upper gastrointestinal hemorrhage

1984 ◽  
Vol 7 (2) ◽  
pp. 87-89 ◽  
Author(s):  
Rod I. Belkin ◽  
Frederick S. Keller ◽  
Edwin C. Everts ◽  
Josef Rösch
Keyword(s):  
Subclavian Artery ◽  
Gastrointestinal Hemorrhage ◽  
Aberrant Right Subclavian Artery ◽  
Esophageal Fistula ◽  
Upper Gastrointestinal Hemorrhage ◽  
Upper Gastrointestinal

scholarly journals Upper Gastrointestinal Bleeding Secondary to an Aberrant Right Subclavian Artery-Esophageal Fistula: A Case Report and Review of the Literature

2007 ◽  
Vol 21 (6) ◽  
pp. 389-392 ◽  
Author(s):  
Adam Millar ◽  
Alaa Rostom ◽  
Pasteur Rasuli ◽  
Nav Saloojee
Keyword(s):  
Gastrointestinal Bleeding ◽  
Subclavian Artery ◽  
Upper Gastrointestinal Bleeding ◽  
Aberrant Right Subclavian Artery ◽  
Esophageal Fistula ◽  
Endotracheal Tubes ◽  
Medline Search ◽  
High Index Of Suspicion ◽  
Upper Gastrointestinal ◽  
Current Report

An aberrant right subclavian artery (ARSA) is a common aortic arch abnormality. A case of a 57-year-old man presenting with melena and hypotension secondary to an ARSA-esophageal fistula is reported. The current report is unique because it is the first reported case of ARSA-esophageal fistula associated with prior esophagectomy and gastric pull-up. A MedLine search was performed for ARSA-esophageal fistula cases, which were then compared with the present case. Because this patient had no vascular conduits, nasogastric or endotracheal tubes, the fistula likely occurred secondary to the previous surgery. This case is unusual because the patient survived the original hemorrhage associated with the ARSA-esophageal fistula.An ARSA-esophageal fistula is a rare, but potentially fatal cause of upper gastrointestinal bleeding. A high index of suspicion is needed to make the diagnosis. This condition should be considered in patients with risk factors combined with hemodynamically significant gastrointestinal bleeding.

scholarly journals Upper Gastrointestinal Bleeding From Aberrant Right Subclavian Artery-Esophageal Fistula

2021 ◽  
Vol 21 (4) ◽  
pp. 406-412
Author(s):  
Shira Peress ◽  
Wa’el Tuqan ◽  
Austin Thomas
Keyword(s):  
Gastrointestinal Bleeding ◽  
Subclavian Artery ◽  
Upper Gastrointestinal Bleeding ◽  
Aberrant Right Subclavian Artery ◽  
Esophageal Fistula ◽  
Upper Gastrointestinal

Massive upper gastrointestinal hemorrhage caused by an arterio-esophageal fistula

2011 ◽  
Vol 37 (9) ◽  
pp. 1551-1552 ◽  
Author(s):  
Thomas Lescot ◽  
Constantine J. Karvellas ◽  
Paola Sanchez-Pena ◽  
Mamadou Deme ◽  
Lamine Abdennour
Keyword(s):  
Gastrointestinal Hemorrhage ◽  
Esophageal Fistula ◽  
Upper Gastrointestinal Hemorrhage ◽  
Upper Gastrointestinal

Gastric Cooling in The Management Of Massive Upper Gastrointestinal Hemorrhage

1964 ◽  
Vol 47 (5) ◽  
pp. 513-516 ◽  
Author(s):  
Gilbert Hermann ◽  
Harvey B. Karsh ◽  
A.J. Kauvar
Keyword(s):  
Gastrointestinal Hemorrhage ◽  
Upper Gastrointestinal Hemorrhage ◽  
Upper Gastrointestinal

Emergency Esophagoscopy in the Diagnosis of Upper Gastrointestinal Hemorrhage

1964 ◽  
Vol 47 (5) ◽  
pp. 505-512 ◽  
Author(s):  
Harold O. Conn ◽  
Murray Brodoff
Keyword(s):  
Gastrointestinal Hemorrhage ◽  
Upper Gastrointestinal Hemorrhage ◽  
Upper Gastrointestinal

A Case of Upper Gastrointestinal Hemorrhage Misdiagnosed as Post-Tonsillectomy Hemorrhage

2011 ◽  
Vol 54 (4) ◽  
pp. 297
Author(s):  
Jong Eui Hong ◽  
Hong Joong Kim ◽  
Su Jin Jeong ◽  
Sang Yul Shim
Keyword(s):  
Gastrointestinal Hemorrhage ◽  
Upper Gastrointestinal Hemorrhage ◽  
Upper Gastrointestinal

scholarly journals Endotherapy for Nonvariceal Upper Gastrointestinal Hemorrhage

2021 ◽  
Vol 12 (02) ◽  
pp. 078-092
Author(s):  
Chhagan L. Birda ◽  
Antriksh Kumar ◽  
Jayanta Samanta
Keyword(s):  
Gastrointestinal Hemorrhage ◽  
Surgical Intervention ◽  
Thermal Therapy ◽  
Upper Gastrointestinal Hemorrhage ◽  
Transfusion Strategy ◽  
Related Factors ◽  
Primary Hemostasis ◽  
Mechanical Therapy ◽  
Definitive Management ◽  
Upper Gastrointestinal

AbstractNonvariceal upper gastrointestinal hemorrhage (NVUGIH) is a common GI emergency with significant morbidity and mortality. Triaging cases on the basis of patient-related factors, restrictive blood transfusion strategy, and hemodynamic stabilization are key initial steps for the management of patients with NVUGIH. Endoscopy remains a vital step for both diagnosis and definitive management. Multiple studies and guidelines have now defined the optimum timing for performing the endoscopy after hospitalization, to better the outcome. Conventional methods for achieving endoscopic hemostasis, such as injection therapy, contact, and noncontact thermal therapy, and mechanical therapy, such as through-the-scope clips, have reported to have 76 to 90% efficacy for primary hemostasis. Newer modalities to enhance hemostasis rates have come in vogue. Many of these modalities, such as cap-mounted clips, coagulation forceps, and hemostatic powders have proved to be efficacious in multiple studies. Thus, the newer modalities are recommended not only for management of persistent bleed and recurrent bleed after failed initial hemostasis, using conventional modalities but also now being advocated for primary hemostasis. Failure of endotherapy would warrant radiological or surgical intervention. Some newer tools to optimize endotherapy, such as endoscopic Doppler probes, for determining flow in visible or underlying vessels in ulcer bleed are now being evaluated. This review is focused on the technical aspects and efficacy of various endoscopic modalities, both conventional and new. A synopsis of the various studies describing and comparing the modalities have been outlined. Postendoscopic management including Helicobacter pylori therapy and starting of anticoagulants and antiplatelets have also been outlined.

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