Hyhlik-Dürr A, Able T, Böckler D
Universität Heidelberg, Gefäßchirurgie, Heidelberg, Deutschland.
Zentralbl Chir. 2011 Jun;136(3):224-8. doi: 10.1055/s-0030-1247324. Epub 2011 Apr 15.
Aorto-enteric fistulas (AEF) are a rare but often -fatal complication. The primary diagnosis of AEF remains difficult. Computed tomography and FDG-PET / CT (fluorodeoxyglucose positron emission computed tomography) are the diagnostic tools of choice. Therapy consists of an urgent individual interdisciplinary surgical approach with primary axillo-femoral bypass and secondary prosthesis explantation or in situ replacement and consecutive bowel resection. Endovascular aortic repair (EVAR) is reserved for primary -aorto-enteric fistulas in patients without signs of infection or in emergency cases as a bridging meth-od. A systematic review of the literature from 1990 to 2009 was performed by medline -research (pubmed) to analyse diagnostic and treatment strategies for aorto-enteric fistulas. A practical, interdisciplinary diagnostic and therapeutic algorithm was created in accordance with the analysed results.
主动脉肠瘘（AEF）是一种罕见但往往致命的并发症。AEF的初步诊断仍然困难。计算机断层扫描和氟脱氧葡萄糖正电子发射计算机断层扫描（FDG-PET/CT）是首选的诊断工具。治疗包括紧急的个体化跨学科手术方法，首先进行腋股旁路移植，然后进行人工血管取出或原位置换以及连续的肠切除术。血管腔内主动脉修复术（EVAR）适用于无感染迹象的原发性主动脉肠瘘患者，或作为紧急情况下的一种过渡方法。通过医学文献数据库检索（PubMed）对1990年至2009年的文献进行系统回顾，以分析主动脉肠瘘的诊断和治疗策略。根据分析结果制定了实用的跨学科诊断和治疗方案。
