Document Detail

Aorto-enteric fistula as clinical entity.
MedLine Citation:
PMID:  676639     Owner:  NLM     Status:  MEDLINE    
A 19 year experience (1958-1977) with aortoenteric fistulas is presented. An aorto-enteric fistula is a direct communication between the aortic lumen and the gastro-intestinal tract producing a gastro-intestinal bleeding. The commonest cause of a primary or spontaneous aorto-enteric fistula is aneurysm formation. If there has been an operation on the aorta then the aorto-enteric fistula is called secondary. No primary aorto-enteric fistulas were encountered but thirteen secondary aorto-enteric fistulas are reported on a total of 841 aorto-femoral by-pass operations reviewed. Six hundred and sixty-one of these had an acceptable follow-up: this gives a 2% incidence. Our survival rate is 40%. Four different possible mechanisms are proposed for the formation of the secondary aorto-enteric fistula: anastomotic aneurysm formation, fibrous reaction, intra- or postoperative contamination or a combination of these possibilities. Some etiological factors as type of anastomosis, suture material, prosthesis material, hypertension, end-arterectomy and preoperative aneurysmatic tendency are analysed. A study is made of the different available diagnostic tools and the different possible therapies are discussed.
P T Sergeant; F Derom
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta chirurgica Belgica     Volume:  77     ISSN:  0001-5458     ISO Abbreviation:  Acta Chir. Belg.     Publication Date:    1978 May-Jun
Date Detail:
Created Date:  1978-09-15     Completed Date:  1978-09-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370571     Medline TA:  Acta Chir Belg     Country:  BELGIUM    
Other Details:
Languages:  eng     Pagination:  187-94     Citation Subset:  IM    
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MeSH Terms
Aortic Diseases* / etiology,  surgery
Duodenal Diseases* / etiology,  surgery
Fistula* / etiology,  surgery
Intestinal Fistula* / etiology,  surgery

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