| Autor: |
Janczak, Dariusz, Dorobisz, Tadeusz, Malinowski, Maciej, Pormańczuk, Kornel, Leśniak, Michał, Ziomek, Agnieszka, Pawłowski, Wiktor, Chabowski, Mariusz |
| Předmět: |
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| Zdroj: |
Acta Angiologica; 2018, Vol. 24 Issue 2, p35-39, 5p |
| Abstrakt: |
Introduction. Aortoenteric fistulas constitute a rare, but severe clinical problem involving a pathological connection between the abdominal aorta and gastrointestinal tract. We distinguish primary and, much more frequent, secondary fistulas. All such fistulas require urgent surgical treatment. Currently, the most common treatment method involves open in situ prosthesis replacement or an extra-anatomical by-pass. Endovascular procedures offer an alternative to open surgery, but remain controversial. Material and methods. The analysis included 6 surgical procedures in 5 patients with aorto-duodenal fistula treated at the Department of Surgery of the 4. Military Clinical Hospital over the years 2010-2016. Open surgery was performed in 4 cases, while 2 patients underwent stentgraft implantation. Diagnostics consisted of an angio-CT and upper gastrointestinal tract endoscopy. All patients were diagnosed with radiological signs of prosthesis infection, 2 of 6 patients died during the perioperative period. Surgical complications were observed in 5 of 6 cases (83%). Results. Endovascular treatment was associated with a reduction in the number of early postoperative complications and shortening of hospital stay. Conclusions. Based on the results and literature data, stentgraft implantation into the aorto-duodenal fistula appears to be a viable alternative treatment method. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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