Aortoenteric and Paraprosthetic-Enteric Fistulas: Problems of Diagnosis and Management
Aortoenteric and Paraprosthetic-Enteric Fistulas: Problems of Diagnosis and Management
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主肠和假体旁肠瘘：诊断和治疗问题
DOI：
10.1001/archsurg.1974.01350280083014
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发表时间：
1974
期刊：
影响因子：
--
通讯作者：
D. Szilagyi
中科院分区：
文献类型：
--
作者：
J. Elliott;Roger F. Smith;D. Szilagyi
本文总结了2,085例腹主动脉重建手术中发生的11例腹主动脉肠瘘和8例腹主动脉重建术后吻合口瘘的临床特点、手术治疗和治疗结果。这些病变的临床表现为出血性出血或药物无法控制的腹膜后脓毒症。腹主动脉重建术中出现晚期出血或败血症并发症时，必须诊断为腹主动脉肠造瘘术或人工肠造瘘术。治疗是早期和积极的手术干预，辅以适当的抗生素药物。一些手术技术细节似乎有助于降低这些并发症的发生概率。
The clinical characteristics, surgical treatment, and therapeutic results were surveyed in 11 cases of aortoenteric and 8 cases of paraprosthetic-enteric fistulas observed in 2,085 abdominal aortic reconstructive operations. The clinical manifestations of these lesions were exsanguinating hemorrhage or medically uncontrollable retroperitoneal sepsis. The diagnosis of aortoenteric or paraprosthetic-enteric fistulization must be assumed in every case of abdominal aortic reconstruction with late hemorrhagic or septic complications. The treatment is early and aggressive surgical intervention supported with appropriate antibiotic medication. Some operative technical details appear useful in reducing the probability of occurrence of these complications.