title: [Aorto-enteric fistula: an interdisciplinary practical approach].
abstract: 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.
authors.affiliation: Universität Heidelberg, Gefäßchirurgie, Heidelberg, Deutschland. ahduerr@web.de
authors.forename: A
authors.initials: A
authors.lastname: Hyhlik-Dürr
authors.forename: T
authors.initials: T
authors.lastname: Able
authors.forename: D
authors.initials: D
authors.lastname: Böckler
authors.forename: D
authors.initials: D
authors.lastname: Boeckler
mesh_terms: D000465:Algorithms; D001018:Aortic Diseases / Q000145:classification / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D003299:Cooperative Behavior; D057510:Endovascular Procedures; D019788:Fluorodeoxyglucose F18; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D033183:Interdisciplinary Communication; D007412:Intestinal Fistula / Q000145:classification / Q000175:diagnosis / Q000601:surgery*; D010348:Patient Care Team; D049268:Positron-Emission Tomography; D011475:Prosthesis Failure; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016157:Vascular Fistula / Q000175:diagnosis / Q000601:surgery*
chemical_list: D019788:Fluorodeoxyglucose F18