Document Detail

Secondary arterio-enteric fistulae: a surgical challenge.
MedLine Citation:
PMID:  3580796     Owner:  NLM     Status:  MEDLINE    
Ten cases of secondary arterio-enteric fistulae are described. There were nine graft enteric fistulae and one fistula involving the aortic suture line following elective resection of an infected graft. Only four of the patients initially received prophylactic antibiotics (single dose) at the original aortic reconstruction, and the vascular suture line had only been protected in two. Eight patients presented with bleeding and two with groin abscesses. One patient died before operation. Graft resection was undertaken in all patients and organisms were grown from six of eight grafts cultured. No patient died during operation but one died after 3 days. Axillofemoral bypass grafts were constructed in seven patients (four immediately after resection of prosthetic grafts and three within 4 days of operation). Only three of the eight patients who survived operation are still alive; two died of a ruptured aorta and one from a recurrent fistula. Two patients died of other causes. Four of five axillofemoral grafts in surviving patients subsequently occluded.
H C Umpleby; D C Britton; A R Turnbull
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  74     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1987 Apr 
Date Detail:
Created Date:  1987-07-13     Completed Date:  1987-07-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  256-9     Citation Subset:  AIM; IM    
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MeSH Terms
Aged, 80 and over
Aorta, Abdominal*
Aortic Aneurysm / surgery
Aortic Diseases / etiology,  surgery*
Duodenal Diseases / etiology
Fistula / etiology,  surgery*
Intestinal Fistula / etiology*
Middle Aged
Postoperative Complications* / etiology*

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

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