Diagnosis and management of graft—enteric fistulae-Reference-Cited by-同舟云学术

Diagnosis and management of graft—enteric fistulae

Published:1988-09 Issue:9 Volume:75 Page:915-916
ISSN:0007-1323
Container-title:British Journal of Surgery
language:en
Short-container-title:

Author:

Tilanus H W¹,Terpstra O T¹,de Smit P¹,van Urk H¹,Veen H F²

Affiliation:

1. Department of Surgery, University Hospital ‘Dijkzigt’, Erasmus University Hospital Rotterdam, The Netherlands

2. Surgical Department of the Ikazia Hospital Rotterdam, The Netherlands

Abstract

Abstract 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.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Link

http://academic.oup.com/bjs/article-pdf/75/9/915/36927684/bjs1800750929.pdf

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