Document Detail

Diagnosis and management of graft-enteric fistulae.
MedLine Citation:
PMID:  3263166     Owner:  NLM     Status:  MEDLINE    
During a 7-year period 20 patients underwent operation for a graft-enteric fistula after implantation of an intra-abdominal vascular prosthesis months or years before. Eighteen patients had gastrointestinal blood loss as their first symptom; 12 were in shock on admission. Fourteen patients had a fistula between the proximal anastomosis and the duodenum. Graft excision followed by axillobifemoral bypass was performed in 10 patients and four patients underwent local repair. A fistula between the distal anastomosis and the bowel was found in the remaining six patients and a local repair was carried out. Proximal graft-enteric fistula carries a particularly high postoperative mortality rate of more than 50 per cent.
H W Tilanus; O T Terpstra; P de Smit; H van Urk; H F Veen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  75     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1988 Sep 
Date Detail:
Created Date:  1988-12-01     Completed Date:  1988-12-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  915-6     Citation Subset:  AIM; IM    
Department of Surgery, University Hospital Dijkzigt, Erasmus University Hospital Rotterdam, The Netherlands.
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MeSH Terms
Aorta, Abdominal / surgery*
Blood Vessel Prosthesis*
Duodenal Diseases / diagnosis,  surgery*
Gastrointestinal Hemorrhage / etiology
Intestinal Fistula / diagnosis,  surgery*
Middle Aged
Postoperative Complications / diagnosis,  surgery*

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