Reported are 305 patients undergoing 327 intestinal anastomoses with polyglactin 910(Vicryl, Ethicon) suture. The technique of one-layer interrupted absorbable suture anastomosis is discussed. A leak rate of 0.6 percent is recorded and indicates this method is acceptable.
The colorectal surgeon may well see arterioenteric fistulas in patients who have rectal bleeding. The initial bleeding usually stops, allowing time for evaluation, which should be done promptly because subsequent bleeding may be fatal. Exploratory laparotomy is frequently necessary to arrive at the correct diagnosis. Surgical management necessitates individual assessment of each case, but best results seem to be obtained when the infected graft is completely removed.
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