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Titolo:
PRIMARY AORTOENTERIC FISTULAS - REPORT OF 4 CASES AND REVIEW OF LITERATURE
Autore:
ROUX JP; KOUSSA MA; ENVAIN D; DUFAY C; WAREMBOURG H;
Indirizzi:
HOP CARDIOL LILLE,SERV CCVB,BLVD PROFESSEUR J LECLERCQ F-59037 LILLE FRANCE
Titolo Testata:
Journal des maladies vasculaires
fascicolo: 2, volume: 18, anno: 1993,
pagine: 119 - 125
SICI:
0398-0499(1993)18:2<119:PAF-RO>2.0.ZU;2-4
Fonte:
ISI
Lingua:
FRE
Soggetto:
PRIMARY AORTODUODENAL FISTULA; AORTOENTERIC FISTULAS; DIAGNOSIS; MANAGEMENT; EXPERIENCE;
Keywords:
PRIMARY AORTOENTERIC FISTULAS; AORTIC ANEURYSM RUPTURE; DIAGNOSIS; GASTRO-DUODENOSCOPY; CT SCAN; GASTROINTESTINAL HEMORRHAGE; SURGICAL APPROACH; IN-SITU REPAIR; AXILLOBIFEMORAL BYPASS; MORTALITY; INFECTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
35
Recensione:
Indirizzi per estratti:
Citazione:
J.P. Roux et al., "PRIMARY AORTOENTERIC FISTULAS - REPORT OF 4 CASES AND REVIEW OF LITERATURE", Journal des maladies vasculaires, 18(2), 1993, pp. 119-125

Abstract

Four cases, three fatal and one with long term recovery, of patients treated surgically for primary aorto duodenal fistulas are reported. The involved lesion was an infrarenal aortic aneurysm. Two patients hadan extraanatomic vascular procedure and two patients an in situ repair. In connection with these cases, two hundred and fifty three primaryaorto enteric fistulas were reviewed in the world's literature. The difficulties in the diagnosis and treatment are pointed out. Emergency operation should be performed in all cases of gastrointestinal bleeding associated with an abdominal aneurysm. The best diagnostic approach is CT scan combined to gastro-duodenoscopy. Overall mortality in our review of the literature was seventy one per cent. Closure of the enteric component should be performed with lateral repair. Management of the aortic component remains controversial : closure of the aorta and axillo-bi femoral by pass or in situ repair. The operative mortality in our review of the literature was thirty seven per cent. Interposition of viable tissue is necessary according to the risk of recurrent infection and bleeding with consequent death (twelve per cent). So, long term control is of paramount importance (J Mal Vasc, 1993, 18, pages 119-125).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/10/20 alle ore 06:12:21