{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:55:32Z","timestamp":1768524932534,"version":"3.49.0"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T00:00:00Z","timestamp":1612224000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T00:00:00Z","timestamp":1612224000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"1\u00b73\u00b75 project for disciplines of excellence\u2013Clinical Research Incubation Project, West China Hospital, Sichuan University","award":["20HXFH016"],"award-info":[{"award-number":["20HXFH016"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Gastroenterol"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Aorto-esophageal fistula (AEF) caused by foreign bodies ingestion is a rare but devastating disorder. Thoracic endovascular aortic repair (TEVAR) has become a widely accepted intervention for treating aorto-esophageal fistulas. As for post-TEVAR esophageal defect, secondary esophagectomy has been the recommended choice for most of the AEFs, but there is no general consensus with regard to the need of secondary surgeries for patients in the absence of clear signs of reinfection or bleeding. We herein presented a case of an AEF caused by fishbone ingestion, after successful TEVAR, the esophageal lesion was closed endoscopically.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 38-year-old male presented with esophageal fistula for 4\u00a0months. He was diagnosed with AEF because of Chiari's triad after fishbone ingestion 4\u00a0months ago. Emergency thoracic aortic stent implantation was done, and given broad spectrum antibiotics and blood transfusion. His symptoms were improved, and discharged with an esophageal fistula left to heal itself. Nevertheless, after 4\u00a0months, re-examination of esophago-gastro-duodenoscopy revealed that the diameter of the fistula was changed from 3 to 6\u00a0mm. He was then admitted to our hospital for esophageal fistula repair. Laboratory examinations and chest computed tomography showed no signs of active infection, and endoscopic closure of the fistula was achieved with 4 clips. After that, he was discharged and gradually returned to normal diet.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>For AEFs in the absence of active infection with repaired aorta but persistent esophageal fistula, endoscopic closure by endoclips might be an effective treatment choice.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12876-021-01624-9","type":"journal-article","created":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T13:02:56Z","timestamp":1612270976000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Aorto-esophageal fistula caused by fishbone ingestion: a case report on staged endovascular and endoscopic treatment"],"prefix":"10.1186","volume":"21","author":[{"given":"Yu-Yan","family":"Zhang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shan","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiang-Lei","family":"Yuan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9898-8656","authenticated-orcid":false,"given":"Bing","family":"Hu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,2,2]]},"reference":[{"issue":"2","key":"1624_CR1","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1002\/lary.21366","volume":"121","author":"X Zhang","year":"2011","unstructured":"Zhang X, Liu J, Li J, Hu J, Yu F, Li S, Yang X. Diagnosis and treatment of 32 cases with aortoesophageal fistula due to esophageal foreign body. Laryngoscope. 2011;121(2):267\u201372.","journal-title":"Laryngoscope"},{"key":"1624_CR2","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1186\/1749-8090-4-21","volume":"4","author":"SL Kelly","year":"2009","unstructured":"Kelly SL, Peters P, Ogg MJ, Li A, Smithers BM. Successful management of an aortoesophageal fistula caused by a fish bone\u2013case report and review of literature. J Cardiothorac Surg. 2009;4:21.","journal-title":"J Cardiothorac Surg"},{"key":"1624_CR3","doi-asserted-by":"crossref","unstructured":"Takeno S, Ishii H, Nanashima A, Nakamura K. Aortoesophageal fistula: review of trends in the last decade. Surg Today. 2019 (555).","DOI":"10.1007\/s00595-019-01937-z"},{"key":"1624_CR4","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1007\/s12328-017-0762-z","volume":"10","author":"K Uno","year":"2017","unstructured":"Uno K, Koike T, Takahashi S, Komazawa D, Shimosegawa T. Management of aorto-esophageal fistula secondary after thoracic endovascular aortic repair: a review of literature. Clin J Gastroenterol. 2017;10:393\u2013402.","journal-title":"Clin J Gastroenterol"},{"issue":"10","key":"1624_CR5","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1007\/s11748-014-0452-4","volume":"62","author":"H Akashi","year":"2014","unstructured":"Akashi H, Kawamoto S, Saiki Y, Sakamoto T, Sawa Y, Tsukube T, Kubota S, Matsui Y, Karube N, Imoto K, et al. Therapeutic strategy for treating aortoesophageal fistulas. Gen Thorac Cardiovasc Surg. 2014;62(10):573\u201380.","journal-title":"Gen Thorac Cardiovasc Surg"},{"issue":"6","key":"1624_CR6","doi-asserted-by":"publisher","first-page":"990","DOI":"10.1093\/icvts\/ivx167","volume":"25","author":"K Tao","year":"2017","unstructured":"Tao K, Cheng H, Hu Z, Kong M. An aorto-oesophageal fistula treated with endovascular aortic repair: the fate of untreated oesophageal lesion on endoscopic follow-up. Interact Cardiovasc Thorac Surg. 2017;25(6):990\u20132.","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"1","key":"1624_CR7","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1186\/s12893-018-0335-1","volume":"18","author":"JY Shen","year":"2018","unstructured":"Shen JY, Zhang HW, Fan KJ, Liao H, Zhang EY, Hu J. Aortoesophageal fistula and arch pseudoaneurysm after removing of a swallowed chicken bone: a case report of one-stage hybrid treatment. BMC Surg. 2018;18(1):3.","journal-title":"BMC Surg"},{"issue":"6","key":"1624_CR8","doi-asserted-by":"publisher","first-page":"3869","DOI":"10.21037\/jtd.2018.06.25","volume":"10","author":"D Kotelis","year":"2018","unstructured":"Kotelis D, Gombert A, Jacobs MJ. Treatment of post-thoracic endovascular aortic repair aorto-esophageal fistula-only radical surgery can be effective: techniques and sequence of treatment. J Thorac Dis. 2018;10(6):3869\u201373.","journal-title":"J Thorac Dis"},{"issue":"307","key":"1624_CR9","first-page":"e315","volume":"30","author":"L Mezzetto","year":"2016","unstructured":"Mezzetto L, Treppiedi E, Scorsone L, Giacopuzzi S, Perandini S, Macri M, Veraldi GF. Thoracic aortic pseudoaneurysm after esophageal perforation and mediastinitis caused by accidental ingestion of a mutton bone: a case report on staged endoscopic and endovascular treatments. Ann Vasc Surg. 2016;30(307):e315\u2013e309.","journal-title":"Ann Vasc Surg"},{"issue":"8","key":"1624_CR10","doi-asserted-by":"publisher","first-page":"1343","DOI":"10.1038\/ajg.2017.184","volume":"112","author":"E Rodrigues-Pinto","year":"2017","unstructured":"Rodrigues-Pinto E, Pereira P, Vilas-Boas F, Peixoto A, Silva M, Macedo G. Esophageal stents in aortoesophageal fistulas-anecdotal experiences or new armamentarium? Am J Gastroenterol. 2017;112(8):1343\u20135.","journal-title":"Am J Gastroenterol"},{"issue":"3","key":"1624_CR11","doi-asserted-by":"publisher","first-page":"599","DOI":"10.1016\/j.gie.2007.12.010","volume":"68","author":"I Zuber-Jerger","year":"2008","unstructured":"Zuber-Jerger I, Hempel U, Rockmann F, Klebl F. Temporary stent placement in 2 cases of aortoesophageal fistula. Gastrointest Endosc. 2008;68(3):599\u2013602.","journal-title":"Gastrointest Endosc"},{"issue":"2","key":"1624_CR12","doi-asserted-by":"publisher","first-page":"195","DOI":"10.6061\/clinics\/2012(02)19","volume":"67","author":"X Chen","year":"2012","unstructured":"Chen X, Li J, Chen J, Zhou Y, Zhang Y, Ding H, Huang S, Zhang Z. A combined minimally invasive approach for the treatment of aortoesophageal fistula caused by the ingestion of a chicken bone: case report and literature review. Clinics (Sao Paulo, Brazil). 2012;67(2):195\u20137.","journal-title":"Clinics (Sao Paulo, Brazil)"},{"issue":"3","key":"1624_CR13","doi-asserted-by":"publisher","first-page":"605","DOI":"10.1016\/j.gie.2007.03.1028","volume":"66","author":"MA Qadeer","year":"2007","unstructured":"Qadeer MA, Dumot JA, Vargo JJ, Lopez AR, Rice TW. Endoscopic clips for closing esophageal perforations: case report and pooled analysis. Gastrointest Endosc. 2007;66(3):605\u201311.","journal-title":"Gastrointest Endosc"}],"container-title":["BMC Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12876-021-01624-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12876-021-01624-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12876-021-01624-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T13:06:54Z","timestamp":1612271214000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcgastroenterol.biomedcentral.com\/articles\/10.1186\/s12876-021-01624-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,2]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1624"],"URL":"https:\/\/doi.org\/10.1186\/s12876-021-01624-9","relation":{},"ISSN":["1471-230X"],"issn-type":[{"value":"1471-230X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,2]]},"assertion":[{"value":"14 October 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 January 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 February 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written consent was obtained from the patient for the patient's personal or clinical details along with any identifying images to be published in this study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"All authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"46"}}