External duodenal fistula

Causes, complications, and treatment

J. A. Rossi, L. L. Sollenberger, Robert V Rege, J. Glenn, R. J. Joehl

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

We reviewed records of 18 patients with external duodenal fistula. Fourteen patients developed duodenal fistulas following an operation, two following abdominal trauma, and two as a complication of other diseases. Copious drainage of intestinal juice from the abdomen was the most common presenting sign. Contrast fistulography, upper gastrointestinal tract roentgenography, and T-tube cholangiography were useful diagnostic studies. Nine patients were treated nonoperatively; nine patients required at least one operation. Complications occurred frequently; of special interest were three patients who developed postoperative acute cholecystitis. Six patients died (33% mortality). Factors associated with mortality were advanced age (>65 years), uncontrolled infection and multiple organ failure, high-output fistula, malnutrition, delay in diagnosis (more than three days), and multiple reoperations to treat the fistula or complications. External duodenal fistula continues to be a life-threatening problem whether it is postoperative, posttraumatic, or secondary to a disease process.

Original languageEnglish (US)
Pages (from-to)908-912
Number of pages5
JournalArchives of Surgery
Volume121
Issue number8
StatePublished - 1986

Fingerprint

Cutaneous Fistula
Fistula
Therapeutics
Acute Cholecystitis
Upper Gastrointestinal Tract
Multiple Organ Failure
Cholangiography
Mortality
Reoperation
Radiography
Malnutrition
Abdomen
Drainage
Wounds and Injuries
Infection

ASJC Scopus subject areas

  • Surgery

Cite this

Rossi, J. A., Sollenberger, L. L., Rege, R. V., Glenn, J., & Joehl, R. J. (1986). External duodenal fistula: Causes, complications, and treatment. Archives of Surgery, 121(8), 908-912.

External duodenal fistula : Causes, complications, and treatment. / Rossi, J. A.; Sollenberger, L. L.; Rege, Robert V; Glenn, J.; Joehl, R. J.

In: Archives of Surgery, Vol. 121, No. 8, 1986, p. 908-912.

Research output: Contribution to journalArticle

Rossi, JA, Sollenberger, LL, Rege, RV, Glenn, J & Joehl, RJ 1986, 'External duodenal fistula: Causes, complications, and treatment', Archives of Surgery, vol. 121, no. 8, pp. 908-912.
Rossi JA, Sollenberger LL, Rege RV, Glenn J, Joehl RJ. External duodenal fistula: Causes, complications, and treatment. Archives of Surgery. 1986;121(8):908-912.
Rossi, J. A. ; Sollenberger, L. L. ; Rege, Robert V ; Glenn, J. ; Joehl, R. J. / External duodenal fistula : Causes, complications, and treatment. In: Archives of Surgery. 1986 ; Vol. 121, No. 8. pp. 908-912.
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