{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T10:54:23Z","timestamp":1782471263369,"version":"3.54.5"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,2,16]],"date-time":"2021-02-16T00:00:00Z","timestamp":1613433600000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,2,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>Aorto-oesophageal fistula (AEF) is rare and fatal without intervention. Having consumed a date pit 2 weeks prior, the patient in this case presented with the \u2018Chiari\u2019 triad of chest pain, sentinel arterial upper gastro-intestinal haemorrhage and exsanguination after an asymptomatic interval. Following resuscitation, the patient was managed with a Blakemore tube with both oesophageal and gastric balloons inflated to systemic pressures. An aortic stent graft was planned but the patient died on the operating table.<\/jats:p>\n               <jats:p>AEFs can be treated surgically with either open or endovascular repair. Open repair is highly risky and involves combined replacement\/bypass of the thoracic aorta along with resection\/repair of the involved oesophagus. Endovascular repair can prevent fatal exsanguination and increase the likelihood of survival but is associated with a significant rate of secondary infection, recurrence of fistula, mediastinitis and sepsis. Further studies are required to inform on management.<\/jats:p>","DOI":"10.1093\/omcr\/omaa140","type":"journal-article","created":{"date-parts":[[2021,2,18]],"date-time":"2021-02-18T17:55:24Z","timestamp":1613670924000},"source":"Crossref","is-referenced-by-count":1,"title":["A date pit induced aorto-oesophageal fistula: a case report and concise literature review"],"prefix":"10.1093","volume":"2021","author":[{"given":"Kevin M","family":"Lichtenstein","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Mazankowski Heart Institute, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6836-3746","authenticated-orcid":false,"given":"Thomas B","family":"Russell","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University Hospitals Plymouth NHS Trust, Plymouth, Devon, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia B","family":"Lichtenstein","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Civic Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harinderpal S","family":"Brar","sequence":"additional","affiliation":[{"name":"Department of Critical Care, Surrey Memorial Hospital, Surrey, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,2,15]]},"reference":[{"key":"2021021610384797200_ref1","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1016\/S0196-0644(98)70182-9","article-title":"Aortoesophageal fistula: recognition and diagnosis in the emergency department","volume":"32","author":"Heckstall","year":"1998","journal-title":"Ann Emerg Med"},{"key":"2021021610384797200_ref2","doi-asserted-by":"crossref","first-page":"2217","DOI":"10.1016\/j.athoracsur.2003.06.031","article-title":"Diagnosis and management of aortoesophageal 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