腹部大動脈腸管瘻・人工血管腸管瘻の治療
腹部大動脈腸管瘻は横隔膜より末梢の大動脈と腸管との間に瘻孔が形成されたまれな疾患で，腹部大動脈瘤が直接腸管に穿破した一次性大動脈腸管瘻と腹部大動脈の術後に人工血管と腸管が穿通した二次性大動脈腸管瘻が存在する．いずれにしても，まれな病態ではあるが，治療には難渋する．本稿では腹部大動脈腸管瘻の治療を文献的考察を含めて，現時点での理想的な治療と治療のこつについて解説した．...
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| Published in | 日本血管外科学会雑誌 Vol. 29; no. 3; pp. 185 - 192 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | Japanese |
| Published |
特定非営利活動法人 日本血管外科学会
18.06.2020
日本血管外科学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0918-6778 1881-767X |
| DOI | 10.11401/jsvs.19-00015 |
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| Abstract | 腹部大動脈腸管瘻は横隔膜より末梢の大動脈と腸管との間に瘻孔が形成されたまれな疾患で，腹部大動脈瘤が直接腸管に穿破した一次性大動脈腸管瘻と腹部大動脈の術後に人工血管と腸管が穿通した二次性大動脈腸管瘻が存在する．いずれにしても，まれな病態ではあるが，治療には難渋する．本稿では腹部大動脈腸管瘻の治療を文献的考察を含めて，現時点での理想的な治療と治療のこつについて解説した． |
|---|---|
| AbstractList | 腹部大動脈腸管瘻は横隔膜より末梢の大動脈と腸管との間に瘻孔が形成されたまれな疾患で，腹部大動脈瘤が直接腸管に穿破した一次性大動脈腸管瘻と腹部大動脈の術後に人工血管と腸管が穿通した二次性大動脈腸管瘻が存在する．いずれにしても，まれな病態ではあるが，治療には難渋する．本稿では腹部大動脈腸管瘻の治療を文献的考察を含めて，現時点での理想的な治療と治療のこつについて解説した． 「要旨」: 腹部大動脈腸管瘻は横隔膜より末梢の大動脈と腸管との間に瘻孔が形成されたまれな疾患で, 腹部大動脈瘤が直接腸管に穿破した一次性大動脈腸管瘻と腹部大動脈の術後に人工血管と腸管が穿通した二次性大動脈腸管瘻が存在する. いずれにしても, まれな病態ではあるが, 治療には難渋する. 本稿では腹部大動脈腸管瘻の治療を文献的考察を含めて, 現時点での理想的な治療と治療のこつについて解説した. |
| Author | 明石, 英俊 下河辺, 久陽 |
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| References | 18) Dirven M, van der Jagt MF, Barendregt WB, et al. The efficacy of autologous femoropopliteal vein reconstruction for primary aortic and aortic graft infection. Ann Vasc Surg 2015; 29: 1188–1195. 7) Lee JT, Saroyan RM, Belzberg G, et al. Primary aortoenteric fistula: computed tomographic diagnosis of an atypical presentation. Ann Vasc Surg 2001; 15: 251–254. 10) O’Hara PJ, Hertzer NR, Beven EG, et al. Surgical management of infected abdominal aortic grafts: review of a 25-year experience. J Vasc Surg 1986; 3: 725–731. 3) Wheeler WE, Hanks J, Raman VK. Primary aortoenteric fistulas. Am Surg 1992; 58: 53–54. 15) Lemos DW, Raffetto JD, Moore TC, et al. Primary aortoduodenal fistula: a case report and review of the literature. J Vasc Surg 2003; 37: 686–689. 2) Saers SJ, Scheltinga MR. Primary aortoenteric fistula. Br J Surg 2005; 92: 143–152. 21) Oderich GS, Bower TC, Jan Hofer RN, et al. In situ rifampicin-soaked grafts with omental coverage and antibiotic suppression are durable with low infection rates in patients with aortic enteric erosion or fistula. J Vasc Surg 2011; 53: 99–106, discussion, 106–107. e1–e7. 1) Kakkos SK, Bicknell CD, Tsolakis IA, et al.; The hellenic Co-operative Group on Aortic Surgery. Editor’s choice–Management of secondary aorto-enteric and other abdominal arterio-enteric fistulas: a review and pooled data analysis. Eur J Vasc Endovasc Surg 2016; 52: 770–786. 11) Burks JA Jr, Faries PL, Gravereaux EC, et al. Endovascular repair of bleeding aortoenteric fistula: a 5-year experience. J Vasc Surg 2001; 34: 1055–1059. 17) Akashi H, Tayama K, Tanaka A, et al. Surgical management of a graftenteric fistula: a modified method of in situ reconstruction. Surg Today 2001; 31: 280–283. 12) Kakkos SK, Antoniadis PN, Klonaris CN, et al. Open or endovascular repair of aortoenteric fistulas?: a multicenter comparative study. Eur J Vasc Endovasc Surg 2011; 41: 625–634. 13) Baril DT, Carroccio A, Ellozy SH, et al. Evolving strategies for the treatment of aortoenteric fistulas. J Vasc Surg 2006; 44: 250–257. 19) Ben Ahmed S, Louvancourt A, Daniel G, et al. Cryopreserved arterial allograft for in situ reconstruction of abdominal aortic native or secondary graft infection. J Vasc Surg 2018; 67: 468–477. 8) Lawlor DK, DeRose G, Harris KA, et al. Primary aorto/iliac-enteric fistula: report of 6 new cases. Vasc Endovasc Surg 2004; 38: 281–286. 5) Estrada FP, Tachovsky TJ, Orr RM Jr, et al. Primary aortoduodenal fistula following radiotherapy. Surg Gynecol Obstet 1983; 156: 646–650. 20) Heinola I, Kantonen I, Jaroma M, et al. Editor’s choice-treatment of aortic prosthesis infections by graft removal and in situ replacement with autologous femoral veins and fascial strengthening. Eur J Vasc Endovasc Surg 2016; 51: 232–239. 16) 寒川顕治，青木 淳，大朏祐治．動脈腸管瘻の3例．脈管学，2009; 49: 423–429. 9) Hallett JW Jr, Marshall DM, Petterson TM, et al. Graft-related complications after abdominal aortic aneurysm repair: reassurance from a 36-year population-based experience. J Vasc Surg 1997; 25: 277–284; discussion, 285–286. 4) Lagrand WK, Hoogendoorn M, Bakker K, et al. Aortoduodenal fistula as an unusual and fatal manifestation of giant-cell arteritis. Eur J Vasc Endovasc Surg 1996; 11: 502–503. 14) Antoniou GA, Koutsias S, Antoniou SA, et al. Outcome after endovascular stent graft repair of aortoenteric fistula: a systematic review. J Vasc Surg 2009; 49: 782–789. 6) Connolly JE, Kwaan JH, McCart PM, et al. Aortoenteric fistula. Ann Surg 1981; 194: 402–412. |
| References_xml | – reference: 3) Wheeler WE, Hanks J, Raman VK. Primary aortoenteric fistulas. Am Surg 1992; 58: 53–54. – reference: 20) Heinola I, Kantonen I, Jaroma M, et al. Editor’s choice-treatment of aortic prosthesis infections by graft removal and in situ replacement with autologous femoral veins and fascial strengthening. Eur J Vasc Endovasc Surg 2016; 51: 232–239. – reference: 21) Oderich GS, Bower TC, Jan Hofer RN, et al. In situ rifampicin-soaked grafts with omental coverage and antibiotic suppression are durable with low infection rates in patients with aortic enteric erosion or fistula. J Vasc Surg 2011; 53: 99–106, discussion, 106–107. e1–e7. – reference: 6) Connolly JE, Kwaan JH, McCart PM, et al. Aortoenteric fistula. Ann Surg 1981; 194: 402–412. – reference: 11) Burks JA Jr, Faries PL, Gravereaux EC, et al. Endovascular repair of bleeding aortoenteric fistula: a 5-year experience. J Vasc Surg 2001; 34: 1055–1059. – reference: 19) Ben Ahmed S, Louvancourt A, Daniel G, et al. Cryopreserved arterial allograft for in situ reconstruction of abdominal aortic native or secondary graft infection. J Vasc Surg 2018; 67: 468–477. – reference: 4) Lagrand WK, Hoogendoorn M, Bakker K, et al. Aortoduodenal fistula as an unusual and fatal manifestation of giant-cell arteritis. Eur J Vasc Endovasc Surg 1996; 11: 502–503. – reference: 7) Lee JT, Saroyan RM, Belzberg G, et al. Primary aortoenteric fistula: computed tomographic diagnosis of an atypical presentation. Ann Vasc Surg 2001; 15: 251–254. – reference: 17) Akashi H, Tayama K, Tanaka A, et al. Surgical management of a graftenteric fistula: a modified method of in situ reconstruction. Surg Today 2001; 31: 280–283. – reference: 16) 寒川顕治，青木 淳，大朏祐治．動脈腸管瘻の3例．脈管学，2009; 49: 423–429. – reference: 10) O’Hara PJ, Hertzer NR, Beven EG, et al. Surgical management of infected abdominal aortic grafts: review of a 25-year experience. J Vasc Surg 1986; 3: 725–731. – reference: 18) Dirven M, van der Jagt MF, Barendregt WB, et al. The efficacy of autologous femoropopliteal vein reconstruction for primary aortic and aortic graft infection. Ann Vasc Surg 2015; 29: 1188–1195. – reference: 12) Kakkos SK, Antoniadis PN, Klonaris CN, et al. Open or endovascular repair of aortoenteric fistulas?: a multicenter comparative study. Eur J Vasc Endovasc Surg 2011; 41: 625–634. – reference: 9) Hallett JW Jr, Marshall DM, Petterson TM, et al. Graft-related complications after abdominal aortic aneurysm repair: reassurance from a 36-year population-based experience. J Vasc Surg 1997; 25: 277–284; discussion, 285–286. – reference: 1) Kakkos SK, Bicknell CD, Tsolakis IA, et al.; The hellenic Co-operative Group on Aortic Surgery. Editor’s choice–Management of secondary aorto-enteric and other abdominal arterio-enteric fistulas: a review and pooled data analysis. Eur J Vasc Endovasc Surg 2016; 52: 770–786. – reference: 14) Antoniou GA, Koutsias S, Antoniou SA, et al. Outcome after endovascular stent graft repair of aortoenteric fistula: a systematic review. J Vasc Surg 2009; 49: 782–789. – reference: 15) Lemos DW, Raffetto JD, Moore TC, et al. Primary aortoduodenal fistula: a case report and review of the literature. J Vasc Surg 2003; 37: 686–689. – reference: 2) Saers SJ, Scheltinga MR. Primary aortoenteric fistula. Br J Surg 2005; 92: 143–152. – reference: 13) Baril DT, Carroccio A, Ellozy SH, et al. Evolving strategies for the treatment of aortoenteric fistulas. J Vasc Surg 2006; 44: 250–257. – reference: 5) Estrada FP, Tachovsky TJ, Orr RM Jr, et al. Primary aortoduodenal fistula following radiotherapy. Surg Gynecol Obstet 1983; 156: 646–650. – reference: 8) Lawlor DK, DeRose G, Harris KA, et al. Primary aorto/iliac-enteric fistula: report of 6 new cases. Vasc Endovasc Surg 2004; 38: 281–286. |
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| Snippet | ... 「要旨」: 腹部大動脈腸管瘻は横隔膜より末梢の大動脈と腸管との間に瘻孔が形成されたまれな疾患で, 腹部大動脈瘤が直接腸管に穿破した一次性大動脈腸管瘻と腹部大動脈の術後に人工血管と腸管が穿通した二次性大動脈腸管瘻が存在する. いずれにしても, まれな病態ではあるが, 治療には難渋する.... |
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| SubjectTerms | 人工血管 大動脈腸管瘻 腹部大動脈腸管瘻 静脈グラフト |
| Title | 腹部大動脈腸管瘻・人工血管腸管瘻の治療 |
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