Aortoenteric fistula: a rare but critical cause of small bowel bleeding discovered on capsule endoscopy

Davie, M; Yung, Diana E; Plevris, John; Koulaouzidis, Anastasios

doi:10.1136/bcr-2019-230083

Cited by 4 publications

(5 citation statements)

References 8 publications

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“…The presence of fresh blood and clots are indicative. Colonoscopy is not often cited as a diagnostic method [ 31 , 32 ].…”

Section: Resultsmentioning

confidence: 99%

“…The fistula itself may not be visualised. CT angiography can be negative, despite an active bleed from an AEF [ 32 ]. Despite the great value of imaging, the clinical presence of gastrointestinal bleeding is very important for differentiating AEFs from other entities such as perigraft infection without fistulation.…”

Section: Resultsmentioning

confidence: 99%

“…The presence of fresh blood and clots are indicative. Colonoscopy is not often cited as a diagnostic method [31,32]. Spiral CT is fast and easily accessible from most centres.…”

mentioning

confidence: 99%

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Secondary aortoenteric fistula: a narrative review of the view of the surgeon

Mulita,

Leivaditis,

Verras

et al. 2024

Arch Med Sci Atheroscler Dis

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Aortoenteric fistula (AEF) is defined as the abnormal communication between the aorta and the gastrointestinal tract. AEFs are divided into primary and secondary usually after abdominal aortic aneurysm (AAA) recovery and are a rare but quite dangerous cause of gastrointestinal bleeding that the general surgeon may face during his/her career. Secondary AEF was first described in 1953 to a 44-year-old woman 3 months after an AAA operation. This review presents the role of the surgeon in the management of secondary aortoenteric fistulas. AEFs are a rare but fatal gastrointestinal bleeding cause that the general surgeon may be asked to manage. Diagnosis requires the combination of strong clinical suspicion and the presence of a history of AAA surgery. Although a vascular surgery case, general surgeons play a role in choosing the technique of restoring the intestinal tract, which seems to be significantly related to subsequent morbidity and mortality.

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“…The presence of fresh blood and clots are indicative. Colonoscopy is not often cited as a diagnostic method [ 31 , 32 ].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Secondary aortoenteric fistula: a narrative review of the view of the surgeon

Mulita,

Leivaditis,

Verras

et al. 2024

Arch Med Sci Atheroscler Dis

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“…The term "fistula" usually refers to abnormal communication between two epithelial surfaces and an ECF is an abnormal communication between any part of GI tract and skin and lined by epithelium or granulation tissue. [1][2][3] ECF is associated with significant morbidity and mortality. Sepsis and malnutrition are the leading causes of mortality.…”

Section: Introductionmentioning

confidence: 99%

The gastrointestinal breach: understanding enterocutaneous fistula

Joshi,

Soni,

Khalife

et al. 2023

Int Surg J

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The term "fistula" usually refers to abnormal communication between two epithelial surfaces and an enterocutaneous fistula (ECF) is an abnormal communication between any part of gastrointestinal (GI) tract and skin and lined by epithelium or granulation tissue. Common causes include trauma during abdominal surgery, inflammatory bowel disease, malignancy, infection, radiation etc. Sepsis and malnutrition are the leading causes of mortality. In cases of high-output fistula, it is essential to adequately replace the excessive fistula discharge. The patient's nutrition plays a crucial role in the successful management of ECFs. If the patient can tolerate oral or enteral feeding, it should be initiated promptly. However, if oral intake is not feasible, parenteral nutrition should be considered. Adequate wound care, including diligent skincare and timely drainage of localized abscesses, is necessary. Before conducting definitive investigations and initiating treatment, it is important to ensure proper resuscitation and stabilization of the patients. Surgical intervention should be approached in staged manner and should not be rushed to prevent failure in managing this complex condition. To conclude management of ECF is complicated and needs multidisciplinary approach. Initial focus for remedy is on treating fluid and electrolyte disturbances, comprehensive treatment of sepsis, management of fistula output, skin care and psychological support.

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“…This definition does not cover all the known types of fistulae. For example, an enteroatmospheric fistula is an example where the fistula connects the enteric epithelial lining to "air" or wound granulation tissue [1][2][3].…”

Section: Introductionmentioning

confidence: 99%