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
Related Documents :
8788369 - Congenital coronary artery fistula--surgical results and late changes in coronary arter...
2375649 - Vascular access in patients with arterial insufficiency. construction of proximal bridg...
8665979 - Coil embolization of a coronary fistula in a post-transplant patient.
8632629 - Clinical and angiographic analysis of congenital coronary artery fistulae in adulthood....
15571029 - Endovascular stent graft treatment for iatrogenic arteriovenous fistulas after femoral ...
8671969 - Hydrodynamic thrombectomy of haemodialysis grafts and fistulae: results of 51 procedures.
25085259 - Total arch repair for acute type a aortic dissection with open placement of a modified ...
24496979 - Quadricuspid aortic valve complicated with infective endocarditis: report of a case.
18575709 - Prevalence of peripheral arterial occlusive disease in patients referred to a tertiary ...
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    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aortic Diseases* / etiology,  surgery
Duodenal Diseases* / etiology,  surgery
Fistula* / etiology,  surgery
Intestinal Fistula* / etiology,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Acute free perforation as first sign of Crohn's disease.
Next Document:  Causalgia: Report of a case (author's transl)