title: [Diagnosis and therapy of second aortoenteric fistulas: results of 16 patients].
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.
authors.affiliation: Klinik für Gefässchirurgie und Nierentransplantation, Heinrich-Heine-Universität Düsseldorf.
authors.forename: B T
authors.initials: BT
authors.lastname: Müller
authors.forename: S
authors.initials: S
authors.lastname: Abbara
authors.forename: N
authors.initials: N
authors.lastname: Hennes
authors.forename: W
authors.initials: W
authors.lastname: Sandmann
mesh_terms: D000005:Abdomen / Q000002:abnormalities* / Q000098:blood supply* / Q000601:surgery; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001159:Arterio-Arterial Fistula / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000002:abnormalities* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies