Aorto-enteric fistula: changing management strategies.

Irish Journal of Medical Science
D O KavanaghM C Barry

Abstract

Traditionally treatment of aorto-enteric fistulae involved placement of an extra-anatomic bypass and graft excision. This is associated with limb loss (10-40%) and high mortality (10-70%). More recently in situ revascularisation has been advocated. To examine our experience with the changing management of aorto-enteric fistulae over a 22-year period. Demographic, clinical, operative and pathological data were recorded retrospectively. Twenty-one patients were included. Seven had primary fistulae. Six died prior to intervention. Five had an extra-anatomical bypass (60% mortality, 40% limb loss), four had in-situ revascularisation (25% mortality), four had a primary repair (25% mortality) and two had insertion of a tube graft (primary fistulae). The overall survival rate was 38%. The postoperative survival rate was 6o%. Techniques for operative management continue to evolve. The current trend is towards a local surgical approach with prolonged and intensive postoperative antimicrobial therapy. In our experience this approach has yielded acceptable outcomes.

References

Oct 1, 1992·Archives of Surgery·J J Peck, L R Eidemiller
Jul 1, 1996·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A H Tareen, T V Schroeder
Oct 1, 1996·The Surgical Clinics of North America·R S Montgomery, S E Wilson
May 1, 1996·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·D BergqvistK A Angquist
May 1, 1996·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R VoorhoeveT J Bast
Dec 12, 2001·Seminars in Vascular Surgery·S J Busuttil, J Goldstone
Apr 25, 2002·Annals of Vascular Surgery·J R DuncanD G Gilmour
Aug 13, 2002·Journal of Vascular and Interventional Radiology : JVIR·Lisa FinchDavid Robinson

❮ Previous
Next ❯

Citations

Feb 28, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Francisco S LozanoJose Ramon Gonzalez-Porras
Jan 18, 2008·World Journal of Gastroenterology : WJG·Girolamo GeraciCarmelo Sciume
Feb 2, 2013·World Journal of Gastroenterology : WJG·Abdu Hassan Alzobydi, Shaista Salman Guraya
Jan 8, 2016·International Journal of Surgery Case Reports·Eleonora G KarthausGeorge J M Akkersdijk
Jul 18, 2016·Annals of Vascular Surgery·Charlotte L DeijenArjan W J Hoksbergen
Nov 14, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S K KakkosUNKNOWN Hellenic Co-operative Group on Aortic Surgery
Nov 11, 2011·Irish Journal of Medical Science·M IqbalP A McCormick

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Related Papers

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
T A ChuterL M Messina
Seminars in Vascular Surgery
S J Busuttil, J Goldstone
Annals of Surgery
J E ConnollyE F Levine
© 2022 Meta ULC. All rights reserved