Aortoenteric fistula. Incidence, presentation recognition, and management

Twenty-two patients developed one or more aortoenteric fistulae following aortic reconstruction with a dacron graft. Endoscopy was performed on 11 of these patients on 17 occasions and a preoperative diagnosis was made in eight patients. Fistulous communication was most common between the aorta and...

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Bibliographic Details
Published inAnnals of surgery Vol. 195; no. 3; pp. 314 - 317
Main Authors Champion, M C, Sullivan, S N, Coles, J C, Goldbach, M, Watson, W C
Format Journal Article
LanguageEnglish
Published United States 01.03.1982
Subjects
Adult
Aged
Aortic Diseases - diagnostic imaging
Aortic Diseases - surgery
Blood Vessel Prosthesis
Duodenal Diseases - diagnostic imaging
Duodenal Diseases - surgery
Female
Fistula - surgery
Humans
Ileal Diseases - surgery
Intestinal Fistula - surgery
Jejunal Diseases - surgery
Male
Middle Aged
Postoperative Complications - surgery
Radiography
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Summary:Twenty-two patients developed one or more aortoenteric fistulae following aortic reconstruction with a dacron graft. Endoscopy was performed on 11 of these patients on 17 occasions and a preoperative diagnosis was made in eight patients. Fistulous communication was most common between the aorta and duodenum (60%), and a further 30% penetrated into the jejunum and ileum. The mean period from operation to time of diagnosis was 36 months and the mean length of bleeding was 25 days, allowing ample time for preoperative evaluation. Surgery was performed on 21 of the 22 patients with an overall mortality of 77%. The best surgical results were obtained with graft resection, closure of the aorta, and maintenance of circulation by an axillofemoral graft.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0003-4932
1528-1140
DOI:10.1097/00000658-198203000-00011