Diagnostik und Therapie von sekundären aortointestinalen Fisteln: Ergebnisse von 16 Patienten

Translated title of the contribution: Diagnosis and therapy of secondary aortoenteric fistulas: Results of 16 patients

Barbara T. Müller, S. Abbara, N. Hennes, W. Sandmann, B. Ulrich

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

From January 1977 to July 1997, 16 patients with aorto/iliac-enteric fistulas underwent repair. The fistula became apparent at a mean of 51 months. Gastrointestinal bleeding was the main symptom in 11 cases, 4 patients had a cutaneous fistula, and 1 developed retroperitoneal bleeding. The preoperative diagnosis was established in one-half of the cases. Three patients had to be treated surgically on an emergency basis without a preoperative diagnosis because of bleeding, 7 patients were semi-urgent and 6 had elective surgery. In 3 cases treatment consisted only of local repair. In 6 patients we performed extra-anatomic revascularization and in 7 patients we achieved restoration by in situ replacement after removal of all infected prosthetic material. Eight of 16 patients survived the perioperative period. Local repair alone cannot be recommended. All 3 patients died. The mortality rates between extra-anatomic revascularization and in situ reconstruction are comparable.

Original languageGerman
Pages (from-to)415-421
Number of pages7
JournalChirurg
Volume70
Issue number4
StatePublished - Apr 1 1999

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Keywords

  • Aortoenteric fistula
  • Extra-anatomic revascularization
  • Gastrointestinal bleeding
  • In situ replacement
  • Local repair

ASJC Scopus subject areas

  • Surgery

Cite this

Müller, B. T., Abbara, S., Hennes, N., Sandmann, W., & Ulrich, B. (1999). Diagnostik und Therapie von sekundären aortointestinalen Fisteln: Ergebnisse von 16 Patienten. Chirurg, 70(4), 415-421.