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Simultaneous Gastrointestinal Surgery in Patients With Elective Abdominal Aortic Reconstruction—Invited Critique
William J. Quiñones-Baldrich, MD
Los Angeles, Calif
Arch Surg. 2002;137:148.
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The authors should be congratulated on the excellent results reported in this series. Forty-two patients with both aortic and gastrointestinal tract (GI) diseases were treated surgically in a single-stage procedure and compared with another group of 42 matched control patients undergoing aortic reconstruction alone. In these 84 procedures Luebke et al report no mortality and no major morbidity. No differences between the 2 groups were noted for both short-term and long-term results including in-hospital length of stay and intensive care unit use. Although not reported in this series, one can assume that the cost of care was also decreased by performing the surgical treatment in a single stage as opposed to 2 separate surgical procedures and hospitalizations.
The management of concomitant aortic and GI diseases remains controversial. In the modern era, however, simultaneous surgical management of these 2 pathologic conditions is being reported with increasing frequency. . . . [Full Text of this Article]
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