Enteric fistulation after renal artery reconstruction: a systematic literature review.
A systematic literature review has revealed 14 cases of arterioenteric fistulation after renovascular reconstruction. Among the 14 patients, 9 had thrombotic occlusion of the reconstruction and 5 underwent nephrectomy, but neither procedure prevented fistulation. There was a dominance of right-sided bypass reconstructions. All patients but one suffered from gastrointestinal bleeding; 3 died before operation and 5 had herald bleeds. Three died as a direct result of surgery. Various technical solutions were used, and the follow-up time was clearly unsatisfactory; in only 2 patients was the follow-up longer than 1 year. Arterioenteric fistulation is a serious complication, associated with a high mortality rate and a high incidence of kidney loss among survivors.
Bergqvist
David
D
Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University Hospital, 751 85, Uppsala, Sweden. david.bergqvist@surgsci.uu.se
Björck
Martin
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D001018:Aortic Diseases / Q000209:etiology* / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012077:Renal Artery / Q000601:surgery*; D016157:Vascular Fistula / Q000209:etiology* / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000009:adverse effects*; D055815:Young Adult