1,276 results match your criteria enteric fistula


Improved Perioperative Mortality after Secondary Aorto-enteric Fistula Repair and Lessons Learned from a 20-year Experience.

J Vasc Surg 2021 Jul 22. Epub 2021 Jul 22.

Introduction: Secondary aorto-enteric fistula (SAEF) are rare but represent one of the most challenging and devastating problems for vascular surgeons. Several issues surrounding SAEF treatment remain unresolved including optimal surgical reconstruction and conduit choice. We performed an audit of our experience with SAEF and highlight aspects of care that have affected outcomes over time with the intent to identify factors associated with best outcomes. Read More

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The role of the pedicle omental flap in ruptured abdominal aortic aneurysm: a case report and literature review.

J Int Med Res 2021 Jul;49(7):3000605211028190

Department of Plastic Surgery, Emergency District Hospital, Cluj-Napoca, Romania.

A ruptured infrarenal abdominal aortic aneurysm (rAAA) is associated with an in-hospital mortality rate of 40% and an overall mortality rate of 60-80%. Open surgical repair for rAAA remains the principal method of treatment when endovascular repair is not available. Graft infection occurs in 1-4% of patients at 5 years, with a high incidence following emergency treatment. Read More

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Development of a Novel Dorsal Incision Only Invagination Type Pancreatogastrostomy (Charité-PG) Following Open Pancreaticoduodenectomy-A Single Centre Experience.

J Clin Med 2021 Jun 10;10(12). Epub 2021 Jun 10.

Department of Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 14195 Berlin, Germany.

The implementation of a pancreatico-enteric anastomosis following open single stage pancreaticoduodenectomy (PD) is still associated with the most threatening complications in modern pancreatic surgery, such as postoperative pancreatic fistula (POPF), postpancreatectomy haemorrhage (PPH), delayed gastric emptying (DGE), intraabdominal abscesses and related mortality. With this study, we introduce Charité-PG, a new dorsal incision only invagination type pancreatogastrostomy (dioPG) for the restoration of the pancreatic remnant following PD, and compare it to a PG requiring ventral gastrotomy (vgPG). A total of 49 consecutive patients, who underwent reconstruction via dioPG, and 92 consecutive patients, who underwent restoration via vgPG, were identified from our prospective database and further reviewed for perioperative parameters, complication rates, mortality and follow-up. Read More

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Treatment and Outcomes of Aortic Graft Infections Using a Decision Algorithm.

Ann Vasc Surg 2021 Jun 25. Epub 2021 Jun 25.

Division of Vascular Surgery & Endovascular Therapy, University of Florida, Gainesville, Florida.

Background: Aortic graft infection (AGI) is a rare but devastating complication requiring both explant of the infected prosthesis and lower extremity revascularization. Despite a variety of methods to treat AGI, there is a paucity of evidence that describes comparative outcomes. Moreover, controversy exists surrounding what the optimal repair strategy is with limited descriptions of how these techniques should be employed in this complex group of patients. Read More

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Do Not Tunnel the Small Bowel during the Tunneling of a Femoro-Femoral Bypass.

Vasc Specialist Int 2021 Jun 28;37:16. Epub 2021 Jun 28.

Division of Vascular Surgery, Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.

A 62-year-old male with a history of femoro-femoral crossover bypass surgery 31 months previously presented with recurrent symptoms of fever and chills, along with a previous positive blood culture. Computed tomography showed vegetation in the bypass graft located in the peritoneal cavity, closely abutting the small bowel and soft tissue lesions in the right proximal thigh and distal calf. Under high suspicion of graft-enteric fistula with metastatic infection, surgery was performed to remove the previous graft and insert a new femoro-femoral bypass graft subcutaneously. Read More

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Endoscopic treatment of primary aorto-enteric fistulas: A case report and review of literature.

World J Gastrointest Endosc 2021 Jun;13(6):189-197

Department of Surgery, Holbaek Hospital, Part of Copenhagen University Hospitals, Holbaek 4300, Denmark.

Background: Primary aorto-enteric fistula (PAEF) is a rare condition, traditionally treated in the acute, bleeding phase with open surgery or endovascular repair. However, these approaches have high morbidity and mortality, indicating a need for new methods. With advances in endoscopic techniques and equipment, haemoclipping of fistulas has now become feasible. Read More

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[Rupture of abdominal aortic aneurysm into the duodenum: uncommon cause of massive gastrointestinal bleeding].

Rev Med Chil 2021 Jan;149(1):132-136

Departamento de Cirugía Vascular y Endovascular, Pontificia Universidad Católica de Chile, Santiago, Chile.

Primary aortoenteric fistula is the spontaneous communication between the lumen of the aorta and a portion of the digestive tract. The most common cause is the erosion of an abdominal aortic aneurysm into the 3rd or 4th portion of the duodenum. It manifests clinically as gastrointestinal bleeding, with or without abdominal pain and a pulsatile abdominal mass on physical exam. Read More

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January 2021

Postoperative biliary anastomotic strictures after pancreaticoduodenectomy.

HPB (Oxford) 2021 Apr 27. Epub 2021 Apr 27.

Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address:

Background: Biliary anastomotic stricture (BAS) is an uncommon complication of pancreaticoduodenectomy (PD). As PDs are performed more frequently, BAS may become a more common pathologic entity requiring clinical engagement. The aim of this study was to report the incidence of BAS in the modern era of pancreatic surgery and identify risk factors associated with it. Read More

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Massive Gastroepiploic Artery Pseudoaneurysm Presenting as Arterial Enteric Fistula.

Ann Vasc Surg 2021 May 2. Epub 2021 May 2.

Loyola University Medical Center, Maywood IL. Electronic address:

A 63-year-old male presented to the Emergency Department with weakness and hematochezia. He was found to have a massive gastroepiploic artery pseudoaneurysm that had eroded into the transverse colon. He underwent open en bloc resection of the aneurysm, a portion of the stomach, and a portion of the transverse colon. Read More

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Surgical Explantation of a Fenestrated Endovascular Abdominal Aortic Aneurysm Repair Device Complicated by Aorto-Enteric Fistula.

EJVES Vasc Forum 2021 19;50:12-18. Epub 2020 Dec 19.

Vascular Surgery Department, Bordeaux University Hospital, Bordeaux, France.

Introduction: Alarming outcomes have been reported following infected endovascular aortic aneurysm repair (EVAR) device explantation. Infected fenestrated EVAR (FEVAR) exposes patients to even worse procedural risks.

Report: A 67 year old man with a prior history of FEVAR presented with impaired general condition, abdominal and back pain, and increased C reactive protein. Read More

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December 2020

Radiological initial treatment of vascular catastrophes in pancreas transplantation: Review of current literature.

Transplant Rev (Orlando) 2021 Jul 18;35(3):100624. Epub 2021 Apr 18.

Manchester University Hospitals NHS Foundation Trust, Department of Renal and Pancreatic Transplantation, Manchester Academic Health Science Centre, Manchester, Greater Manchester, M13 9WL, UK.

Background: Arterio-enteric fistula (AEF) is a rare but potentially devastating complication of solid organ pancreatic transplantation. Traditional management has been to remove the pancreas-duodenum allograft and control the vascular defect. Interventional radiological (IR) techniques present a new method of managing AEF related haemorrhage without re-operation and the potential to preserve graft function. Read More

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Decision points in pancreatoduodenectomy: Insights from the contemporary experts on prevention, mitigation, and management of postoperative pancreatic fistula.

Surgery 2021 Apr 20. Epub 2021 Apr 20.

Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA. Electronic address:

Background: Despite abundant, high-level scientific evidence, there is no consensus regarding the prevention, mitigation, and management of clinically relevant pancreatic fistula after pancreatoduodenectomy. The aim of the present investigation is three-fold: (1) to analyze the multiple decision-making points for pancreatico-enteric anastomotic creation and fistula mitigation and management after pancreatoduodenectomy, (2) to reveal the practice of contemporary experts, and (3) to indicate avenues for future research to reduce the burden of clinically relevant pancreatic fistula.

Methods: A 109-item questionnaire was sent to a panel of international pancreatic surgery experts, recognized for their clinical and scientific authority. Read More

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Complex ventral hernia repair in a child: An association of botulinum toxin, progressive pneumoperitoneum and negative pressure therapy. A case report on an arising surgical technique.

Int J Surg Case Rep 2021 Apr 23;81:105828. Epub 2021 Mar 23.

Department of Pediatric Surgery, Hospital de Clínicas, Porto Alegre, Brazil; Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.

Introduction: The purpose of this manuscript is to report the management of a child born with giant omphalocele (GO) that developed a complex ventral hernia secondary to an unsuccessful attempt of closing the primary defect.

Presentation Of Case: The patient underwent a one-step surgery to correct a ventral hernia associated with a largely prolapsed enteroatmospheric fistula (EAF) along with an ileostomy. It was managed by a pre-operative association of botulinum toxin agent (BTA) application with preoperative progressive pneumoperitoneum (PPP) and trans-operative negative pressure wound therapy (NPWT) dressing with staged abdominal closure. Read More

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Massive gastro-intestinal bleed in a case of aorto-enteric fistula: An intraoperative nightmare.

Ann Card Anaesth 2021 Apr-Jun;24(2):278-279

Department of Cardiac Anaesthesia, Cardiothoracic Centre, CNC, All India Institute of Medical Sciences, New Delhi, India.

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Imaging of Bowel Lymphoma: A Pictorial Review.

Dig Dis Sci 2021 Apr 20. Epub 2021 Apr 20.

Department of Radiodiagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.

Intestinal lymphoma, although rare, is the second most common extra-nodal site of lymphoma, following stomach. It is usually secondary to systemic involvement and is predominantly of non-Hodgkin's subtype. In addition to the risk factors for lymphomas occurring elsewhere, certain risk factors are specific for intestinal lymphoma. Read More

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Septic Shock Caused by Rahnella aquatilis Bacteremia in an Immunocompetent Adult.

Am J Case Rep 2021 Apr 16;22:e930888. Epub 2021 Apr 16.

Department of Clinical Pharmacy, University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora, CO, USA.

BACKGROUND Rahnella aquatilis is a facultatively anaerobic, gram-negative rod bacterium commonly found in freshwater. There are few cases of bacteremia caused by Rahnella aquatilis in the literature and even fewer cases reported of it causing sepsis in immunocompetent individuals. In this case report, we present a rare case of an immunocompetent individual who developed sepsis secondary to bacteremia caused by Rahnella aquatilis. Read More

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Short and Mid Term Outcomes of Cryopreserved Abdominal Aortic Allografts Used as a Substitute for Infected Prosthetic Grafts in 200 Patients.

Eur J Vasc Endovasc Surg 2021 Jul 12;62(1):89-97. Epub 2021 Apr 12.

Sorbonne Université, Department of Vascular Surgery, Pitié-Salpêtrière Hospital, Assistance Publique Hôpitaux de Paris, France.

Objective: To investigate the use of cryopreserved arterial allografts (CAA) as a substitute for infected infrarenal aortic prostheses, and its outcomes.

Methods: A single centre retrospective study of consecutive patients receiving an abdominal aortic CAA after removal of an infected graft was conducted between January 1997 and December 2013. The primary outcome was the rate of allograft related revision surgery. Read More

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Imaging in whole organ pancreatic transplants and a multimodality review of its complications.

Br J Radiol 2021 Jun 14;94(1122):20200106. Epub 2021 Apr 14.

Academic Department of Surgery, Imperial College, and Department of Renal & Transplant Services, Imperial College Healthcare NHS Trust, London, UK.

This pictorial review will describe the normal anatomy of whole organ pancreatic transplants and the common surgical variants with which the radiologist should be familiar. Complications may be divided into (1) vascular: arterial occlusion and stenosis, venous thrombosis, pseudoaneurysms and arteriovenous fistulae, (2) parenchymal complications such as pancreatitis and the variety of peripancreatic collections, and (3) enteric complications including leak and fistula formation. The radiologist plays a crucial role in the initial assessment of graft anatomy and perfusion, prompt diagnosis, and increasingly, in the management of complications. Read More

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Concurrent Ilio-Enteric and Ilio-Vesical Fistula From Large Aorto-Iliac Aneurysm.

Vasc Endovascular Surg 2021 Apr 13:15385744211010389. Epub 2021 Apr 13.

Department of Vascular Surgery, 90112Gosford Hospital, Gosford, New South Wales, Australia.

Iliac artery aneurysms (IAA) are associated frequently with abdominal aortic (AAA) and other degenerative large-vessel aneurysms. Concurrent fistulization of the aortoiliac tree into the gastrointestinal tract (GIT) and bladder is exceptionally rare. We herewith report a unique case of concurrent ilio-enteric and ilio-vesical fistula arising from a large aorto-iliac aneurysm. Read More

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Cholecystocolonic fistula as an uncommon cause of diarrhea: a case-report and review of the literature.

Clin J Gastroenterol 2021 Aug 10;14(4):1147-1151. Epub 2021 Apr 10.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.

Bilio-enteric fistulization is the aberrant connection between the biliary and luminal digestive tracts. The cholecystocolonic fistula (CCF) is the second most common bilio-enteric fistula (comprising 20% of cases), after the cholocystoduodenal fistula (comprising 70% of all cases). A CCF may result from malignancy or more benign etiologies, such as gallstones, and is thought to arise from a chronic inflammatory cadence of tissue necrosis, tissue perforation, and fistula creation. Read More

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Predictors and Outcomes of Pancreatic Fistula Following Pancreaticoduodenectomy: a Dual Center Experience.

Indian J Surg Oncol 2021 Mar 27;12(1):22-30. Epub 2020 Aug 27.

Department of Surgical Gastroenterology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Vibhuti Khand, Gomti Nagar, Lucknow, Uttar Pradesh 226010 India.

Fistula following leaked pancreatico-enteric anastomosis is a common, potentially lethal complication of pancreaticoduodenectomy (PD). Early assessment and prediction of its occurrence can improve postoperative outcomes. Various perioperative factors were analyzed for its contribution to clinically relevant postoperative pancreatic fistula (crPOPF). Read More

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Diagnostic and Management Difficulty of Bleeding Aorto-Duodenal Fistula Associated with Hodgkin's Lymphoma.

Diagnostics (Basel) 2021 Feb 25;11(3). Epub 2021 Feb 25.

Hematology Department, Hadassah Medical Center, Jerusalem 911200, Israel.

Primary aorto-enteric fistula (AEF) resulting from abdominal malignancy is a rare and often fatal complication. The few reports to date are mostly secondary to solid tumors. We present a case of a patient with refractory Hodgkin's lymphoma who developed life-threatening AEF. Read More

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February 2021

Bouveret syndrome: A series of cases that illustrates a rare complication of chronic cholelithiasis.

Ann Hepatobiliary Pancreat Surg 2021 Feb;25(1):139-144

Department of Radiology, The Jewish Hospital of Cincinnati, Cincinnati, OH, USA.

Bouveret syndrome is defined as gastric outlet obstruction secondary to the impaction of a large gallstone in the proximal gastrointestinal tract. The obstruction occurs as result of a bilio-enteric or bilio-gastric fistula. This clinical entity is a rare variant of the more commonly recognized gallstone ileus, which tends to cause small bowel obstruction of the terminal ileum. Read More

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February 2021

Traumatic Arterio-Enteric Fistula-A Report of 2 Cases With Review of Literature.

Vasc Endovascular Surg 2021 Aug 24;55(6):631-637. Epub 2021 Feb 24.

Division of Trauma Surgery and Critical Care, Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, Delhi, India.

Background: Traumatic arterio-enteric fistula is predominantly seen after penetrating trauma with only 21 reported cases documented in the past 25 years. They may present in an acute or delayed manner with upper or lower gastrointestinal bleed. A detailed clinical examination with requisite imaging can help in detecting such injuries. Read More

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Effect of Negative Pressure Therapy on Open Abdomen Treatments. Prospective Randomized Study With Two Commercial Negative Pressure Systems.

Front Surg 2020 5;7:596056. Epub 2021 Feb 5.

General, Visceral and Transplant Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.

The use of negative pressure dressings for open abdominal therapy has made a great impact on strategies for open abdominal treatment. Observed intestinal damage and developement of fistula formation raises questions about safety of commonly used systems (AB-Thera). The most common used system uses foils for shielding intestines directly from negative pressure. Read More

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February 2021

Feasibility and patency of echoendoscopic anastomoses with lumen apposing metal stents depending on the gastrointestinal segment involved.

Sci Rep 2021 Feb 17;11(1):3992. Epub 2021 Feb 17.

Department of Gastroenterology, Endoscopy Unit, University of Navarra Clinic, Pamplona, Spain.

EUS-guided anastomoses with LAMS have emerged as a therapeutic option for patients with obstruction of the digestive tract. However, the long-term permeability of these anastomoses remains unknown. Most of the published cases involve the gastric wall and experience in distal obstruction is limited to few case reports. Read More

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February 2021

A rolling stone: vomiting of a gallstone without the presence of a biliary-enteric fistula.

Oxf Med Case Reports 2021 Jan 23;2021(1):omaa125. Epub 2021 Jan 23.

Surgery Department, University Hospital of Larissa, Thessaly, Greece.

Gallstones may pass into the gastrointestinal tract spontaneously through the ampulla of Vater or through a biliary-enteric fistula. This report describes an extremely rare case of a patient vomiting a gallstone without the presence of a fistula between the gallbladder and the gastrointestinal tract. Furthermore, no imaging findings of gallstones disease appeared. Read More

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January 2021

Clinical and endoscopic features of aorto-duodenal fistula resulting in its definitive diagnosis: an observational study.

BMC Gastroenterol 2021 Feb 1;21(1):45. Epub 2021 Feb 1.

Gastroenterology Medicine Center, Shonankamakura General Hospital, 1370-1 Okamoto, Kamakura, Kanagawa, 247-8533, Japan.

Background: Upper gastrointestinal (GI) bleeding is the most important presentation of an aorto-duodenal fistula (ADF). Early diagnosis is difficult, and the disease is associated with high mortality. The present study aimed to examine the clinical and the endoscopic characteristics of ADF in eight patients who presented to our hospital. Read More

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February 2021

Impact of Perioperative Blood Transfusions on Outcomes After Hyperthermic Intraperitoneal Chemotherapy: A Propensity-Matched Analysis.

Ann Surg Oncol 2021 Aug 28;28(8):4499-4507. Epub 2021 Jan 28.

Department of Surgery, Johns Hopkins University, Baltimore, MD, USA.

Background: Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) is a major operation frequently necessitating red blood cell transfusion. Using multi-institutional data from the U.S. Read More

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