{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T06:45:27Z","timestamp":1776581127070,"version":"3.51.2"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[1987,4,1]],"date-time":"1987-04-01T00:00:00Z","timestamp":544233600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1987,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Ten cases of secondary arterio-enteric fistulae are described. There were nine graft enteric fistulae and one fistula involving the aortic suture line following elective resection of an infected graft. Only four of the patients initially received prophylactic antibiotics (single dose) at the original aortic reconstruction, and the vascular suture line had only been protected in two. Eight patients presented with bleeding and two with groin abscesses. One patient died before operation. Graft resection was undertaken in all patients and organisms were grown from six of eight grafts cultured. No patient died during operation but one died after 3 days. Axillofemoral bypass grafts were constructed in seven patients (four immediately after resection of prosthetic grafts and three within 4 days of operation). Only three of the eight patients who survived operation are still alive; two died of a ruptured aorta and one from a recurrent fistula. Two patients died of other causes. Four of five axillofemoral grafts in surviving patients subsequently occluded.<\/jats:p>","DOI":"10.1002\/bjs.1800740411","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T09:40:48Z","timestamp":1172914848000},"page":"256-259","source":"Crossref","is-referenced-by-count":19,"title":["Secondary arterio-enteric fistulae: A surgical challenge"],"prefix":"10.1093","volume":"74","author":[{"given":"H C","family":"Umpleby","sequence":"first","affiliation":[{"name":"Royal United Hospital , Combe Park, Bath BA1 3NG,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D C","family":"Britton","sequence":"additional","affiliation":[{"name":"Royal United Hospital , Combe Park, Bath BA1 3NG,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A R","family":"Turnbull","sequence":"additional","affiliation":[{"name":"Royal United Hospital , Combe Park, Bath BA1 3NG,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1987,4,1]]},"reference":[{"key":"2024092719461036000_bib1","first-page":"34","volume-title":"Lectures on the Principles and Practice of Surgery","author":"Cooper","year":"1825"},{"key":"2024092719461036000_bib2","first-page":"492","article-title":"Primary aorto-duodenal fistula: manifestation, diagnosis and treatment","volume":"96","author":"Sweeney","year":"1984","journal-title":"Surgery"},{"key":"2024092719461036000_bib3","first-page":"204","article-title":"Aortic homografting","volume":"102","author":"Brock","year":"1953","journal-title":"Guy's Hosp Ref"},{"key":"2024092719461036000_bib4","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1001\/archsurg.1956.01280060047010","article-title":"Suture-line rupture of a nylon aortic bifurcation graft into the small bowel","volume":"73","author":"Claytor","year":"1956","journal-title":"Arch Surg"},{"key":"2024092719461036000_bib5","first-page":"410","article-title":"In discussion of \u2018aorto-enteric fistulae\u2019 (authors Connolly JE, Kwaan JH, McCart PM, Brown LDA, Levine EF)","volume":"194","author":"Eastcott","year":"1981","journal-title":"Ann Surg"},{"key":"2024092719461036000_bib6","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1001\/archsurg.1974.01350280083014","article-title":"Aorto-enteric and paraprosthetic enteric fistulas","volume":"108","author":"Elliott","year":"1974","journal-title":"Arch Surg"},{"key":"2024092719461036000_bib7","first-page":"992","article-title":"Aorto-intestinal fistulas following surgery of the aorta","volume":"120","author":"Levy","year":"1965","journal-title":"Surg Gynecol Obstet"},{"key":"2024092719461036000_bib8","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1001\/archsurg.1967.01330170118015","article-title":"Aorto-enteric fistula","volume":"95","author":"Donovan","year":"1967","journal-title":"Arch Surg"},{"key":"2024092719461036000_bib9","first-page":"1","article-title":"Pathogenesis of aorto-duodenal fistula: Experimental and clinical correlates","volume":"85","author":"Busuttil","year":"1979","journal-title":"Surgery"},{"key":"2024092719461036000_bib10","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1016\/0002-9610(66)90125-5","article-title":"Small bowel erosion by synthetic aortic grafts","volume":"112","author":"Wierman","year":"1966","journal-title":"Am J Surg"},{"key":"2024092719461036000_bib11","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1097\/00000658-198110000-00004","article-title":"Aorto-enteric fistulae","volume":"194","author":"Connolly","year":"1981","journal-title":"Ann Surg"},{"key":"2024092719461036000_bib12","first-page":"1","article-title":"Synthetic vascular graft infections. II Graft enteric erosions and graft enteric fistulas","volume":"94","author":"Bunt","year":"1983","journal-title":"Surgery"},{"key":"2024092719461036000_bib13","first-page":"733","article-title":"Synthetic vascular graft infections. I Graft infections","volume":"93","author":"Bunt","year":"1983","journal-title":"Surgery"},{"key":"2024092719461036000_bib14","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1097\/00000658-198406000-00005","article-title":"Priority of revascularisation in patients with graft eneteric fistulas, infected arteries or infected arterial prostheses","volume":"199","author":"Trout","year":"1984","journal-title":"Ann Surg"},{"key":"2024092719461036000_bib15","first-page":"338","volume-title":"Advances in Vascular Surgery","author":"Moore","year":"1983"},{"key":"2024092719461036000_bib16","doi-asserted-by":"crossref","first-page":"834","DOI":"10.1002\/bjs.1800651203","article-title":"Management of abdominal aortic aneurysm","volume":"65","author":"Gordon-Smith","year":"1978","journal-title":"Br J Surg"},{"key":"2024092719461036000_bib17","first-page":"489","article-title":"In a comment on \u2018Aorto-enteric and paraprosthetic enteric fistula\u2019 (authors Elliott HP, Smith RP, Szilagyi DE)","volume":"108","author":"Blaisdell","year":"1974","journal-title":"Arch Surg"},{"key":"2024092719461036000_bib18","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/0002-9610(81)90275-0","article-title":"Secondary aorto-enteric fistula. A 20 year experience","volume":"142","author":"O'Mara","year":"1981","journal-title":"Am J Surg"},{"key":"2024092719461036000_bib19","first-page":"121","article-title":"Primary aorto-duodenal fistula: a case report and review of the literature","volume":"46","author":"Steffes","year":"1980","journal-title":"Am Surg"},{"key":"2024092719461036000_bib20","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1001\/archsurg.1976.01360210098023","article-title":"Endoscopic diagnosis of an aorto-duodenal fistula","volume":"111","author":"Baker","year":"1976","journal-title":"Arch Surg"},{"key":"2024092719461036000_bib21","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/S0016-5107(73)73997-3","article-title":"Endoscopic diagnosis of an aorto-duodenal fistula","volume":"19","author":"Mir-Majdlessi","year":"1973","journal-title":"Gastrointest Endosc"},{"key":"2024092719461036000_bib22","first-page":"556","article-title":"Paraprosthetic-enteric fistula","volume":"81","author":"O'Mara","year":"1977","journal-title":"Surgery"},{"key":"2024092719461036000_bib23","first-page":"868","article-title":"A diagnostic and therapeutic approach to aorto-enteric fistulas: Clinical experience with 20 patients","volume":"86","author":"Kleinman","year":"1979","journal-title":"Surgery"},{"key":"2024092719461036000_bib24","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1136\/gut.11.8.679","article-title":"The association between aneurysms of the abdominal aorta and peptic ulceration","volume":"11","author":"Jones","year":"1970","journal-title":"Gut"},{"key":"2024092719461036000_bib25","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1097\/00000658-198008000-00019","article-title":"Impending aorto-enteric haemorrhage. The effect of early recognition on improved outcome","volume":"192","author":"Purdue","year":"1980","journal-title":"Ann Surg"},{"key":"2024092719461036000_bib26","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1136\/bmj.2.5545.155","article-title":"Aorto-jejunal fistula from rupture of Teflon graft, with septic emboli in the skin","volume":"2","author":"Martin","year":"1967","journal-title":"Br Med J"},{"key":"2024092719461036000_bib27","first-page":"718","article-title":"Excision of infected aortic bifucation graft and axillo-femoral bypass: case report","volume":"77","author":"Becker","year":"1975","journal-title":"Surgery"},{"key":"2024092719461036000_bib28","first-page":"58","volume-title":"Extra-anatomic and Secondary Arterial Reconstruction","author":"Eastcott","year":"1982"},{"key":"2024092719461036000_bib29","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1002\/bjs.1800670913","article-title":"Aorto-duodenal and subsequent aorto-colonic fistula following operation for ruptured aortic aneurysm","volume":"67","author":"Cranston","year":"1980","journal-title":"Br J Surg"},{"key":"2024092719461036000_bib30","doi-asserted-by":"crossref","first-page":"872","DOI":"10.1001\/archsurg.1968.01340060050004","article-title":"Experimental protection of vascular prosthesis by omentum","volume":"97","author":"Goldsmith","year":"1968","journal-title":"Arch Surg"},{"key":"2024092719461036000_bib31","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1001\/archsurg.1967.01330110016003","article-title":"Infection complicating the use of plastic arterial implants","volume":"94","author":"Fry","year":"1967","journal-title":"Arch Surg"},{"key":"2024092719461036000_bib32","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1016\/0002-9610(83)90372-0","article-title":"Clinical use of sero-muscular jejunal patch for protection of the infected aortic stump","volume":"146","author":"Shah","year":"1983","journal-title":"Am J Surg"},{"key":"2024092719461036000_bib33","first-page":"82","article-title":"Autogenous tissue reconstruction in the management of infected prosthetic grafts","volume":"85","author":"Ehrenfeld","year":"1979","journal-title":"Surgery"},{"key":"2024092719461036000_bib34","first-page":"39","article-title":"Autogenous graft replacement of infected prosthetic grafts in the femoral position","volume":"93","author":"Seeger","year":"1983","journal-title":"Surgery"},{"key":"2024092719461036000_bib35","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1378\/chest.58.6.566","article-title":"The differential response to infection of autogenous vein versus Dacron arterial prosthesis","volume":"58","author":"Bricker","year":"1970","journal-title":"Chest"},{"key":"2024092719461036000_bib36","first-page":"439","article-title":"Comparison of Dacron and aortic autografts in wounds contaminated with fecal matter","volume":"40","author":"Cheek","year":"1974","journal-title":"Am Surg"},{"key":"2024092719461036000_bib37","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1097\/00005373-197707000-00010","article-title":"Use of substitute conduits in traumatic vascular surgery","volume":"17","author":"Lau","year":"1977","journal-title":"J Trauma"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800740411","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/74\/4\/256\/59383780\/bjs1800740411.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/74\/4\/256\/59383780\/bjs1800740411.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T19:46:29Z","timestamp":1727466389000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/74\/4\/256\/6183469"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1987,4,1]]},"references-count":37,"journal-issue":{"issue":"4","published-online":{"date-parts":[[1987,4,1]]},"published-print":{"date-parts":[[1987,4,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800740411","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1987,4]]},"published":{"date-parts":[[1987,4,1]]}}}