Aortoenteric Fistula Treatment in India
About Aortoenteric Fistula
Key Highlights
-
Addresses a life-threatening emergency to prevent fatal hemorrhage.Repairs the structural integrity of both the aorta and the gastrointestinal tract.Performed by a specialized team, often including cardiologists and vascular surgeons, for comprehensive care.Aims to eliminate the source of recurrent bleeding and severe infection (sepsis).Can be a definitive treatment for a condition with an otherwise very high mortality rate.
Who is this surgery for?
- A "herald bleed" – an initial, often self-limited episode of gastrointestinal bleeding, which is a major warning sign.
- Massive, unexplained gastrointestinal hemorrhage, especially in a patient with a history of aortic surgery or aneurysm.
- Evidence of an aortoenteric fistula on imaging studies like CT angiography or endoscopy.
- Signs of systemic infection or sepsis originating from the fistula.
- Persistent abdominal or back pain in a patient with a known aortic graft or aneurysm.
How to prepare
- Emergency stabilization is paramount, including massive transfusion protocols for blood loss.
- Rapid diagnostic imaging, typically a contrast-enhanced CT scan, to confirm the fistula location.
- Broad-spectrum intravenous antibiotics are administered immediately to combat infection.
- Informed consent is obtained from the patient or family, explaining the high-risk nature of the emergency surgery.
- The surgical team, including cardiology, vascular surgery, and anesthesia, is mobilized for an immediate operation.
Risks & possible complications
- Severe bleeding during surgery, potentially leading to shock or death.
- Graft infection, which is a serious complication that may require graft removal.
- Recurrence of the fistula.
- Bowel ischemia or leakage from the intestinal repair site.
- Kidney failure due to contrast dye or low blood pressure.
- Stroke, heart attack, or blood clots.
- General risks of major surgery and anesthesia.
Recovery & hospital stay
- Initial recovery occurs in an intensive care unit (ICU) for close monitoring of vital signs and organ function.
- Patients will have a breathing tube and be on a ventilator temporarily after surgery.
- Intravenous antibiotics are continued for an extended period, often weeks.
- Nutrition may initially be provided intravenously (TPN) until bowel function returns.
- Gradual mobilization with physical therapy is essential to prevent complications.
- Lifelong follow-up with a cardiologist or vascular surgeon is required for imaging surveillance of the aortic repair.
- Patients must report any fever, abdominal pain, or signs of bleeding immediately.
-
Typical hospital stay:
14-28 days
-
Expected recovery time:
3-6 months
Frequently Asked Questions
If you are considering aortoenteric fistula in India, these questions and answers can help you make a confident, informed decision.
Popular choices for aortoenteric fistula in India include Medanta The Medicity, Kamineni Hospital LB Nagar, Miot Hospital Chennai, Nanavati Max Hospital, Nanavati Max Hospital, Kamineni Hospital, King Koti, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform aortoenteric fistula. MediFyr helps you compare cardiologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for aortoenteric fistula compare across other countries where we have data.
Top hospitals for Aortoenteric Fistula in India
These partner hospitals in India have dedicated cardiology teams and experience managing patients undergoing aortoenteric fistula.
Kolkata, India
72 Doctors
I'd been feeling off for months,...
I'd been feeling off for months, tired all the time with weird aches. A couple of other doctors just shrugged. Dr. Shrivarthan was different. He actually listened, asked a ton of questions I hadn't thought about, and ordered some specific tests. Turns out it was a thyroid issue that wasn't showing up on the standard panel. He explained it all in a way that finally made sense. I'm on treatment now and starting to feel like myself again.
Cardiologists for Aortoenteric Fistula
Explore experienced cardiologists who regularly perform aortoenteric fistula and provide pre- and post-operative care in India.
- 19 Years Experience
- Cardiologist
Manipal Hospital EM Bypass
- 10 Years Experience
- Cardiologist
Manipal Hospital EM Bypass
- 16 Years Experience
- Cardiologist
Manipal Hospital EM Bypass
- 24 Years Experience
- Cardiologist
Manipal Hospital Dwarka
- 14 Years Experience
- Cardiologist
Manipal Hospital EM Bypass
- 12 Years Experience
- Cardiologist
Manipal Hospital EM Bypass
- 10 Years Experience
- Cardiologist
Manipal Hospital EM Bypass
- 7 Years Experience
- Cardiologist
Manipal Hospital EM Bypass
- 29 Years Experience
- Cardiologist
Manipal Hospital Baner
- 31 Years Experience
- Cardiologist
Manipal Hospital Goa
- 11 Years Experience
- Cardiologist
Manipal Hospital Baner
- 19 Years Experience
- Cardiologist
Manipal Hospital Goa
- 16 Years Experience
- Cardiologist
Manipal Hospital Goa
- 15 Years Experience
- Cardiologist
Manipal Hospital Goa
- 11 Years Experience
- Cardiologist
Manipal Hospital Goa
- 20 Years Experience
- Cardiologist
Manipal Hospital Mukundapur
- 25 Years Experience
- Cardiologist
Manipal Hospital Mukundapur
- 18 Years Experience
- Cardiologist
Manipal Hospital Mukundapur
- 36 Years Experience
- Cardiologist
Manipal Hospital Millers Road
- 14 Years Experience
- Cardiologist
Manipal Hospital Mukundapur