[Secondary aorto-enteral fistula--material of 22 years and literature review].
BACKGROUND
Aorto-enteral fistula is a pathological communication between the aorta and the bowel lumen. In its secondary form is a dreaded, often fatal complication of the aorto-iliac operations.


METHODS
We report 34 secondary fistulas, a great number of patients treated in the last 22 years. One can rarely find such a number in the literature.


RESULTS
The incidence of secondary fistulas is 0.42% following aorto-iliac operations. We give a detailed description of diagnostics. We prefer in situ solutions (graft change, aorto-aortic interposition, iliac desobliteration, homograft or deep venous bypass, aorto-bifemoral bypass) to extra-anatomical bypasses. We emphasize the importance of the postoperative care, and the necessity of adequate antibiotic therapy.


CONCLUSIONS
Despite improved operations and intensive care mortality is still high (55.88%). We find that prevention is of great importance.
Szabó
Gábor Viktor
GV
Semmelweis Egyetem Altalános Orvostudományi Kar Er- és Szívsebészeti Klinika, Budapest. szabogv@freemail.hu
Laczkó
Agnes
A
Acsády
György
G
Nemes
Attila
A
D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D013505:Digestive System Surgical Procedures / Q000379:methods; D006801:Humans; D015994:Incidence; D007412:Intestinal Fistula / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D012189:Retrospective Studies; D016157:Vascular Fistula / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods