Endoscopic treatment of primary aorto-enteric fistulas:A case report and review of literature  

作　　者：Victoria Berner-Hansen August A Olsen Birgitte Brandstrup 

机构地区：[1]Department of Surgery,Holbaek Hospital,Part of Copenhagen University Hospitals,Holbaek 4300,Denmark [2]Institute for Clinical Medicine,University of Copenhagen,Copenhagen 2200,Denmark [3]Faculty of Health and Medical Sciences,University of Copenhagen,Copenhagen 2200,Denmark

出　　处：《World Journal of Gastrointestinal Endoscopy》2021年第6期189-197,共9页世界胃肠内镜杂志（英文版）（电子版）

摘　　要：BACKGROUND Primary aorto-enteric fistula(PAEF)is a rare condition,traditionally treated in the acute,bleeding phase with open surgery or endovascular repair.However,these approaches have high morbidity and mortality,indicating a need for new methods.With advances in endoscopic techniques and equipment,haemoclipping of fistulas has now become feasible.Therefore,we present a systematic review of the English literature and a rare case of a PAEF successfully treated by endoscopic haemoclipping.CASE SUMMARY A 74-year-old man with an abdominal aortic aneurysm presented with symptoms of haemorrhagic shock and bloody stools.An oesophago-gastro-duodenoscopy was performed with haemoclipping of a suspected PAEF in the third part of the duodenum.Afterward,a computed tomography-angiography showed a contrast filled protrusion from the abdominal aortic aneurysm.Based on the clinical presentation and the combined endoscopic and radiographic findings,we argue that this is a case of a PAEF.CONCLUSION Endoscopic therapy appears capable of achieving haemodynamic stabilisation in patients with bleeding PAEF,serving as a bridge to final therapy.

关 键 词：ENDOSCOPY Gastrointestinal haemorrhage Surgical clip Intestinal fistula Vascular fistula Systematic review Case report 

分 类 号：R654.4[医药卫生—外科学]