Duodenal obstruction following abdominal aortic reconstruction.
Four patients developed duodenal obstruction after 161 abdominal aortic reconstructions, an incidence (2.5%) rivaling that of graft infection and arterioenteric fistula. The diagnosis is easily confirmed by gastrointestinal contrast studies. Duodenal obstruction is usually caused by perigraft collagenous adhesions and is probably less likely to occur if the mobilized duodenum is not replaced directly over the aorta during resuture of the retroperitoneum. Undetected duodenal obstruction leads to rapid dehydration and electrolyte and caloric depletion.
Lord
R S
RS
Surgical Professorial Unit, St. Vincent's Hospital, Darlinghurst NSW, Australia.
Nankivell
C
C
Graham
A R
AR
Tracy
G D
GD
D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D004380:Duodenal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology; D011859:Radiography; D000267:Tissue Adhesions / Q000209:etiology
D011093:Polyethylene Terephthalates