Development of an aortoenteric @entity292 (AEF) is a devastating and life-threatening condition, which is as difficult to diagnose as it is to treat. Fortunately, it is rare, most commonly seen as a delayed complication of aortic reconstruction. Two types are recognized: primary and secondary. Primary @entity292 occur de novo between the aorta and bowel, most commonly duodenum. Secondary @entity292 occur between an aortic graft and segment of bowel. Diagnosis of AEF requires a high index of suspicion in @entity1 who present with either signs of @entity281 or @entity360 . Early diagnosis is essential for a successful outcome because of the lethal nature of AEF. Symptomatology can be varied but most often includes signs of @entity281 and of @entity360 . Esophagogastroduodenoscopy (EGD) and computed tomography (CT) scans are the most useful tests to diagnose AEF. Treatment almost always requires excision of the infected graft and revascularization. Placement of an extra anatomic bypass, followed by graft excision, has been the usual treatment. Recent experience with in situ revascularization has shown that a variety of materials can be use for in situ reconstruction with good results. Morbidity and mortality rates still are high even in contemporary series. The mortality rate still is approximately 33%, but amputation rates have been reduced to less then 10%. Care of @entity1 with AEF requires timely control of @entity548 and @entity281 followed by vascular reconstruction performed in a manor to minimize physiological stress.

Diagnosis and management of aortoenteric XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula', 'fistulas'] @entity360 :: ('MESH:D006471', 'Disease') :: ['gastrointestinal bleeding', 'gastrointestinal hemorrhage']
@entity292 :: (MESH:D005402,Disease) :: ['fistulas']
