Secondary aortoenteric fistula. A 20 year experience

Charles S. O'Mara, G. Melville Williams, Calvin B. Ernst

Research output: Contribution to journalArticle

Abstract

During a 20 year period at the Johns Hopkins Medical Institutions, 17 patients were operated on for secondary aortoenteric fistula. The interval from initial operation to the onset of symptoms varied greatly and averaged 2.8 years. Symptoms included not only gastrointestinal bleeding but also sepsis and abdominal or back pain. Associated advanced cardiovascular disease was common. Helpful preoperative diagnostic studies included esophagogastroduodenoscopy, aortography, barium contrast gastrointestinal series and groin sinography. However, a high index of suspicion was the most important element of diagnosis. Overall operative mortality was high (47 percent). All six patients with a graft left in the retroperitoneum had an unsatisfactory result (four instances of recurrent aortoenteric fistula). Successful repair was accomplished only in those patients undergoing graft excision and axillofemoral bypass.

Original languageEnglish (US)
Pages (from-to)203-209
Number of pages7
JournalAmerican Journal of Surgery
Volume142
Issue number2
DOIs
StatePublished - 1981
Externally publishedYes

Fingerprint

Fistula
Digestive System Endoscopy
Transplants
Aortography
Groin
Barium
Back Pain
Abdominal Pain
Sepsis
Cardiovascular Diseases
Hemorrhage
Mortality

ASJC Scopus subject areas

  • Surgery

Cite this

Secondary aortoenteric fistula. A 20 year experience. / O'Mara, Charles S.; Williams, G. Melville; Ernst, Calvin B.

In: American Journal of Surgery, Vol. 142, No. 2, 1981, p. 203-209.

Research output: Contribution to journalArticle

O'Mara, Charles S. ; Williams, G. Melville ; Ernst, Calvin B. / Secondary aortoenteric fistula. A 20 year experience. In: American Journal of Surgery. 1981 ; Vol. 142, No. 2. pp. 203-209.
@article{67047b1513fa4cbdaba269e4cdcb4615,
title = "Secondary aortoenteric fistula. A 20 year experience",
abstract = "During a 20 year period at the Johns Hopkins Medical Institutions, 17 patients were operated on for secondary aortoenteric fistula. The interval from initial operation to the onset of symptoms varied greatly and averaged 2.8 years. Symptoms included not only gastrointestinal bleeding but also sepsis and abdominal or back pain. Associated advanced cardiovascular disease was common. Helpful preoperative diagnostic studies included esophagogastroduodenoscopy, aortography, barium contrast gastrointestinal series and groin sinography. However, a high index of suspicion was the most important element of diagnosis. Overall operative mortality was high (47 percent). All six patients with a graft left in the retroperitoneum had an unsatisfactory result (four instances of recurrent aortoenteric fistula). Successful repair was accomplished only in those patients undergoing graft excision and axillofemoral bypass.",
author = "O'Mara, {Charles S.} and Williams, {G. Melville} and Ernst, {Calvin B.}",
year = "1981",
doi = "10.1016/0002-9610(81)90275-0",
language = "English (US)",
volume = "142",
pages = "203--209",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "2",

}

TY - JOUR

T1 - Secondary aortoenteric fistula. A 20 year experience

AU - O'Mara, Charles S.

AU - Williams, G. Melville

AU - Ernst, Calvin B.

PY - 1981

Y1 - 1981

N2 - During a 20 year period at the Johns Hopkins Medical Institutions, 17 patients were operated on for secondary aortoenteric fistula. The interval from initial operation to the onset of symptoms varied greatly and averaged 2.8 years. Symptoms included not only gastrointestinal bleeding but also sepsis and abdominal or back pain. Associated advanced cardiovascular disease was common. Helpful preoperative diagnostic studies included esophagogastroduodenoscopy, aortography, barium contrast gastrointestinal series and groin sinography. However, a high index of suspicion was the most important element of diagnosis. Overall operative mortality was high (47 percent). All six patients with a graft left in the retroperitoneum had an unsatisfactory result (four instances of recurrent aortoenteric fistula). Successful repair was accomplished only in those patients undergoing graft excision and axillofemoral bypass.

AB - During a 20 year period at the Johns Hopkins Medical Institutions, 17 patients were operated on for secondary aortoenteric fistula. The interval from initial operation to the onset of symptoms varied greatly and averaged 2.8 years. Symptoms included not only gastrointestinal bleeding but also sepsis and abdominal or back pain. Associated advanced cardiovascular disease was common. Helpful preoperative diagnostic studies included esophagogastroduodenoscopy, aortography, barium contrast gastrointestinal series and groin sinography. However, a high index of suspicion was the most important element of diagnosis. Overall operative mortality was high (47 percent). All six patients with a graft left in the retroperitoneum had an unsatisfactory result (four instances of recurrent aortoenteric fistula). Successful repair was accomplished only in those patients undergoing graft excision and axillofemoral bypass.

UR - http://www.scopus.com/inward/record.url?scp=0019441506&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0019441506&partnerID=8YFLogxK

U2 - 10.1016/0002-9610(81)90275-0

DO - 10.1016/0002-9610(81)90275-0

M3 - Article

C2 - 6973290

AN - SCOPUS:0019441506

VL - 142

SP - 203

EP - 209

JO - American Journal of Surgery

JF - American Journal of Surgery

SN - 0002-9610

IS - 2

ER -