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Results for “Intestinal Fistula”

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At least 1,639 records · Page 91Linked to original sources
PubMed1984

Aortoenteric fistula: diagnosis and management.

During the last ten years, 14 patients with proven aortoenteric fistulas were admitted to the Greenville Hospital System, a community system of 1200 beds in four units serving a county of 250,000 residents. The experience obtained is tabulated, and illustrative case reports are used to emphasize the diagnostic and treatment problems inherent in this group of patients. It is obvious that two major manifestations result when intra-abdomial vascular prostheses communicate with some portion of the gastrointestinal tract. The most common manifestation of aortenenteric fistual is massive GI hemorrhage, usually preceded by an earlier, less consequential bleeding episode called a "herald bleed." If the small bowel, other than the duodenum or colon, is involved, then chronic bleeding and sepsis are most characteristic. The problems of diagnosis and management are discussed.

Aged↗
PubMed1991

Postoperative external alimentary tract fistulas.

Most series dealing with external gastrointestinal fistulas cover experience of many years and include a heterogeneous sample of fistulas. We present our experience with 117 cases of postoperative external alimentary tract fistulas treated since 1980. Only fistulas caused by anastomotic leaks and operative injury to bowel are included. The overall mortality rate was 37%. The fistulas are classified into four types: type I-abdominal, esophagus, gastroduodenal (mortality rate, 17%); type II-small bowel (mortality rate, 33%); type III-large bowel (mortality rate, 20%), and type IV-all sites associated with a large abdominal wall defect (mortality rate, 60%). The main cause of death was intra-abdominal infection. Seventy-six percent of the patients required further operations. We conclude that despite the availability of all modern diagnostic and management facilities, postoperative external gastrointestinal fistulas treated during the 1980s continue to represent a surgical "disaster." Only prevention and improved methods in the management of the associated intra-abdominal infections could improve the results.

Abdominal Muscles↗
PubMed2002

Pyloric atresia associated with multiple intestinal atresias and pylorocholedochal fistula.

Although congenital pyloric atresia commonly occurs in isolation, it has rarely been reported in association with other alimentary tract atresias. This is a report of a newborn with congenital pyloric atresia associated with duodenal atresia, jejunal atresia, apple-peel ileal atresia, and pylorocholedochal fistula. Preoperative diagnosis was duodenal atresia because of bilious vomiting, and erect radiogram showed double bubble sign. The presented case is the first report of such an association.

Abnormalities, Multiple↗
PubMed1974

Use of elemental diets to correct catabolic states prior to surgery.

An elemental diet was used to prepare 11 severely debilitated malnourished patients for operation. Indications included: 1) as a substitute for parenteral hyperalimentation when catheter sepsis occurred with the latter; 2) high small fistulae; 3) short bowel syndrome; 4) radiation enteritis; and 5) partial obstruction of the gastrointestinal tract. All patients were converted to a positive nitrogen balance as evidenced by a substantial gain in weight and in serum albumin levels. All tolerated corrective operations without difficulty and their wounds healed per primum.

Adolescent↗