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Successful Surgical Treatment of Aortoenteric Fistula
In order to establish optimal management for aortoenteric fistula (AEF) the records of five patients treated for AEF (four aortoduodenal and one aortogastric fistula) were retrospectively reviewed. The arterial reconstruction procedures were selected according to the surgical findings, underlying ca...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
The Korean Academy of Medical Sciences
2007
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2693851/ https://www.ncbi.nlm.nih.gov/pubmed/17982233 http://dx.doi.org/10.3346/jkms.2007.22.5.846 |
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author | Kim, Jang Yong Kim, Young-Wook Kim, Chel Joong Lim, Hye In Kim, Dong Ik Huh, Seung |
author_facet | Kim, Jang Yong Kim, Young-Wook Kim, Chel Joong Lim, Hye In Kim, Dong Ik Huh, Seung |
author_sort | Kim, Jang Yong |
collection | PubMed |
description | In order to establish optimal management for aortoenteric fistula (AEF) the records of five patients treated for AEF (four aortoduodenal and one aortogastric fistula) were retrospectively reviewed. The arterial reconstruction procedures were selected according to the surgical findings, underlying cause, and patient status. In situ aortic reconstructions with prosthetic grafts were performed on three patients who had no gross findings of periaortic infection, whereas axillo-bifemoral bypass was carried out in the other two patients with periaortic purulence. In all patients, after retroperitoneal irrigation a pedicled omentum was used to cover the aortic graft or aortic stump. In the preoperative abdominal computed tomography (CT) scan there was a periaortic air shadow in four out of five patients. There was no surgical mortality or graft infection observed during a mean follow-up period of 40 months (range, 24-68 months). Therefore, the treatment results of an AEF can be improved using intravenous contrast-enhanced abdominal CT for rapid diagnosis and selection of an appropriate surgical procedure based on the surgical findings and underlying cause. |
format | Text |
id | pubmed-2693851 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2007 |
publisher | The Korean Academy of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-26938512009-06-11 Successful Surgical Treatment of Aortoenteric Fistula Kim, Jang Yong Kim, Young-Wook Kim, Chel Joong Lim, Hye In Kim, Dong Ik Huh, Seung J Korean Med Sci Original Article In order to establish optimal management for aortoenteric fistula (AEF) the records of five patients treated for AEF (four aortoduodenal and one aortogastric fistula) were retrospectively reviewed. The arterial reconstruction procedures were selected according to the surgical findings, underlying cause, and patient status. In situ aortic reconstructions with prosthetic grafts were performed on three patients who had no gross findings of periaortic infection, whereas axillo-bifemoral bypass was carried out in the other two patients with periaortic purulence. In all patients, after retroperitoneal irrigation a pedicled omentum was used to cover the aortic graft or aortic stump. In the preoperative abdominal computed tomography (CT) scan there was a periaortic air shadow in four out of five patients. There was no surgical mortality or graft infection observed during a mean follow-up period of 40 months (range, 24-68 months). Therefore, the treatment results of an AEF can be improved using intravenous contrast-enhanced abdominal CT for rapid diagnosis and selection of an appropriate surgical procedure based on the surgical findings and underlying cause. The Korean Academy of Medical Sciences 2007-10 2007-10-31 /pmc/articles/PMC2693851/ /pubmed/17982233 http://dx.doi.org/10.3346/jkms.2007.22.5.846 Text en Copyright © 2007 The Korean Academy of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Kim, Jang Yong Kim, Young-Wook Kim, Chel Joong Lim, Hye In Kim, Dong Ik Huh, Seung Successful Surgical Treatment of Aortoenteric Fistula |
title | Successful Surgical Treatment of Aortoenteric Fistula |
title_full | Successful Surgical Treatment of Aortoenteric Fistula |
title_fullStr | Successful Surgical Treatment of Aortoenteric Fistula |
title_full_unstemmed | Successful Surgical Treatment of Aortoenteric Fistula |
title_short | Successful Surgical Treatment of Aortoenteric Fistula |
title_sort | successful surgical treatment of aortoenteric fistula |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2693851/ https://www.ncbi.nlm.nih.gov/pubmed/17982233 http://dx.doi.org/10.3346/jkms.2007.22.5.846 |
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