ArticleCureus2025
Aortoenteric Fistula: An Uncommon but Life-Threatening Complication of Pledget Use in Hiatal Hernia Repair.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
The standard treatment for hiatal hernia repair and gastroesophageal reflux disease (GERD) is laparoscopic Nissen fundoplication, in which a Teflon pledget (TP) is used to buttress the hiatal hernia. We present an extremely rare case in which a 74-year-old female developed a postoperative aortoenteric fistula due to erosion of a TP used during paraesophageal hernia repair. A computed tomography (CT) angiogram and esophagogastroduodenoscopy (EGD) confirmed the diagnosis. Subsequently, a thoracic endovascular aortic repair (TEVAR) was performed to treat the aortoenteric fistula, and the TP was removed using a raptor grasping device and scissors during a repeat EGD at a tertiary care center. In this article, we discuss different causes of TP erosion and possible countermeasures that may help prevent such complications.
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