{"id":"https://openalex.org/W7203736749","doi":"https://doi.org/10.1177/15385744261479110","title":"Nuances in Secondary Aortoduodenal Fistula Management: Presentation of Two Cases and Review of the Literature","display_name":"Nuances in Secondary Aortoduodenal Fistula Management: Presentation of Two Cases and Review of the Literature","publication_year":2026,"publication_date":"2026-08-19","ids":{"openalex":"https://openalex.org/W7203736749","doi":"https://doi.org/10.1177/15385744261479110","pmid":"https://pubmed.ncbi.nlm.nih.gov/42619325"},"language":"en","primary_location":{"id":"doi:10.1177/15385744261479110","doi":"https://doi.org/10.1177/15385744261479110","is_oa":false,"landing_page_url":"https://doi.org/10.1177/15385744261479110","pdf_url":null,"source":{"id":"https://openalex.org/S100253076","display_name":"Vascular and Endovascular Surgery","issn_l":"1538-5744","issn":["1538-5744","1938-9116"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Vascular and Endovascular Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5147449862","display_name":"Marianna Mpitou","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800686964","display_name":"Vavuniya General Hospital","ror":"https://ror.org/037zgz558","country_code":"LK","type":"healthcare","lineage":["https://openalex.org/I2800686964"]},{"id":"https://openalex.org/I4210155740","display_name":"General Hospital of Nafplio","ror":"https://ror.org/04a0xmf69","country_code":"GR","type":"healthcare","lineage":["https://openalex.org/I4210155740"]},{"id":"https://openalex.org/I4405254485","display_name":"Ishinkai Yao General Hospital","ror":"https://ror.org/01vsged97","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405254485"]},{"id":"https://openalex.org/I4405278251","display_name":"Banphaeo General Hospital","ror":"https://ror.org/05fwbf767","country_code":"TH","type":"healthcare","lineage":["https://openalex.org/I4405278251"]}],"countries":["GR","JP","LK","TH"],"is_corresponding":false,"raw_author_name":"Marianna Mpitou","raw_affiliation_strings":["Konstantopouleio General Hospital, Nea Ionia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Konstantopouleio General Hospital, Nea Ionia","institution_ids":["https://openalex.org/I2800686964","https://openalex.org/I4210155740","https://openalex.org/I4405254485","https://openalex.org/I4405278251"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050205632","display_name":"Zoi Gerasimina Tampouratzi","orcid":"https://orcid.org/0000-0002-3231-9935","observed_orcids":["https://orcid.org/0000-0002-3231-9935"]},"institutions":[{"id":"https://openalex.org/I2800686964","display_name":"Vavuniya General Hospital","ror":"https://ror.org/037zgz558","country_code":"LK","type":"healthcare","lineage":["https://openalex.org/I2800686964"]},{"id":"https://openalex.org/I4210155740","display_name":"General Hospital of Nafplio","ror":"https://ror.org/04a0xmf69","country_code":"GR","type":"healthcare","lineage":["https://openalex.org/I4210155740"]},{"id":"https://openalex.org/I4405254485","display_name":"Ishinkai Yao General Hospital","ror":"https://ror.org/01vsged97","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405254485"]},{"id":"https://openalex.org/I4405278251","display_name":"Banphaeo General Hospital","ror":"https://ror.org/05fwbf767","country_code":"TH","type":"healthcare","lineage":["https://openalex.org/I4405278251"]}],"countries":["GR","JP","LK","TH"],"is_corresponding":true,"raw_author_name":"Zoi Gerasimina Tampouratzi","raw_affiliation_strings":["Konstantopouleio General Hospital, Nea Ionia"],"raw_orcid":"https://orcid.org/0000-0002-3231-9935","affiliations":[{"raw_affiliation_string":"Konstantopouleio General Hospital, Nea Ionia","institution_ids":["https://openalex.org/I2800686964","https://openalex.org/I4210155740","https://openalex.org/I4405254485","https://openalex.org/I4405278251"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5106883702","display_name":"Evgenia Charitaki","orcid":"https://orcid.org/0000-0002-5375-0097","observed_orcids":["https://orcid.org/0000-0002-5375-0097"]},"institutions":[{"id":"https://openalex.org/I2800686964","display_name":"Vavuniya General Hospital","ror":"https://ror.org/037zgz558","country_code":"LK","type":"healthcare","lineage":["https://openalex.org/I2800686964"]},{"id":"https://openalex.org/I4210155740","display_name":"General Hospital of Nafplio","ror":"https://ror.org/04a0xmf69","country_code":"GR","type":"healthcare","lineage":["https://openalex.org/I4210155740"]},{"id":"https://openalex.org/I4405254485","display_name":"Ishinkai Yao General Hospital","ror":"https://ror.org/01vsged97","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405254485"]},{"id":"https://openalex.org/I4405278251","display_name":"Banphaeo General Hospital","ror":"https://ror.org/05fwbf767","country_code":"TH","type":"healthcare","lineage":["https://openalex.org/I4405278251"]}],"countries":["GR","JP","LK","TH"],"is_corresponding":false,"raw_author_name":"Evgenia Charitaki","raw_affiliation_strings":["Konstantopouleio General Hospital, Nea Ionia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Konstantopouleio General Hospital, Nea Ionia","institution_ids":["https://openalex.org/I2800686964","https://openalex.org/I4210155740","https://openalex.org/I4405254485","https://openalex.org/I4405278251"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5147558197","display_name":"Pavlos Antoniadis","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800686964","display_name":"Vavuniya General Hospital","ror":"https://ror.org/037zgz558","country_code":"LK","type":"healthcare","lineage":["https://openalex.org/I2800686964"]},{"id":"https://openalex.org/I4210155740","display_name":"General Hospital of Nafplio","ror":"https://ror.org/04a0xmf69","country_code":"GR","type":"healthcare","lineage":["https://openalex.org/I4210155740"]},{"id":"https://openalex.org/I4405254485","display_name":"Ishinkai Yao General Hospital","ror":"https://ror.org/01vsged97","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405254485"]},{"id":"https://openalex.org/I4405278251","display_name":"Banphaeo General Hospital","ror":"https://ror.org/05fwbf767","country_code":"TH","type":"healthcare","lineage":["https://openalex.org/I4405278251"]}],"countries":["GR","JP","LK","TH"],"is_corresponding":false,"raw_author_name":"Pavlos Antoniadis","raw_affiliation_strings":["Konstantopouleio General Hospital, Nea Ionia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Konstantopouleio General Hospital, Nea Ionia","institution_ids":["https://openalex.org/I2800686964","https://openalex.org/I4210155740","https://openalex.org/I4405254485","https://openalex.org/I4405278251"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5121217908","display_name":"Spiros Delis","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800686964","display_name":"Vavuniya General Hospital","ror":"https://ror.org/037zgz558","country_code":"LK","type":"healthcare","lineage":["https://openalex.org/I2800686964"]},{"id":"https://openalex.org/I4210155740","display_name":"General Hospital of Nafplio","ror":"https://ror.org/04a0xmf69","country_code":"GR","type":"healthcare","lineage":["https://openalex.org/I4210155740"]},{"id":"https://openalex.org/I4405254485","display_name":"Ishinkai Yao General Hospital","ror":"https://ror.org/01vsged97","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405254485"]},{"id":"https://openalex.org/I4405278251","display_name":"Banphaeo General Hospital","ror":"https://ror.org/05fwbf767","country_code":"TH","type":"healthcare","lineage":["https://openalex.org/I4405278251"]}],"countries":["GR","JP","LK","TH"],"is_corresponding":false,"raw_author_name":"Spiros Delis","raw_affiliation_strings":["Konstantopouleio General Hospital, Nea Ionia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Konstantopouleio General Hospital, Nea Ionia","institution_ids":["https://openalex.org/I2800686964","https://openalex.org/I4210155740","https://openalex.org/I4405254485","https://openalex.org/I4405278251"]}]}],"institutions":[],"countries_distinct_count":4,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5050205632"],"corresponding_institution_ids":["https://openalex.org/I2800686964","https://openalex.org/I4210155740","https://openalex.org/I4405254485","https://openalex.org/I4405278251"],"apc_list":{"value":4150,"currency":"USD","value_usd":4150},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"15385744261479110","last_page":"15385744261479110"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12453","display_name":"Infectious Aortic and Vascular Conditions","score":0.8339999914169312,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12453","display_name":"Infectious Aortic and Vascular Conditions","score":0.8339999914169312,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10983","display_name":"Aortic aneurysm repair treatments","score":0.1460999995470047,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11625","display_name":"Abdominal vascular conditions and treatments","score":0.013899999670684338,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/abdominal-aortic-aneurysm-repair","display_name":"abdominal aortic aneurysm repair","score":0.9179999828338623},{"id":"https://openalex.org/keywords/endovascular-aortic-repair","display_name":"endovascular aortic repair","score":0.8040000200271606},{"id":"https://openalex.org/keywords/gastrointestinal-bleeding","display_name":"gastrointestinal bleeding","score":0.8320000171661377},{"id":"https://openalex.org/keywords/duodenectomy","display_name":"duodenal resection","score":0.753000020980835},{"id":"https://openalex.org/keywords/duodenojejunal-anastomosis","display_name":"duodenojejunal anastomosis","score":0.9860000014305115},{"id":"https://openalex.org/keywords/axillobifemoral-bypass","display_name":"axillobifemoral bypass","score":0.9670000076293945},{"id":"https://openalex.org/keywords/sepsis","display_name":"sepsis","score":0.6759999990463257},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.47600001096725464}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9868999719619751},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7120000123977661},{"id":"https://openalex.org/C2779808106","wikidata":"https://www.wikidata.org/wiki/Q4778772","display_name":"Aortoenteric fistula","level":4,"score":0.6868000030517578},{"id":"https://openalex.org/C2776259030","wikidata":"https://www.wikidata.org/wiki/Q769508","display_name":"Bleed","level":2,"score":0.5182999968528748},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.5001000165939331},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.4912000000476837},{"id":"https://openalex.org/C2778583881","wikidata":"https://www.wikidata.org/wiki/Q1325542","display_name":"Stent","level":2,"score":0.46560001373291016},{"id":"https://openalex.org/C2779993416","wikidata":"https://www.wikidata.org/wiki/Q2256736","display_name":"Abdominal aortic aneurysm","level":3,"score":0.4465000033378601},{"id":"https://openalex.org/C2775901891","wikidata":"https://www.wikidata.org/wiki/Q3137609","display_name":"Pseudoaneurysm","level":3,"score":0.40689998865127563},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.39809998869895935},{"id":"https://openalex.org/C2778384902","wikidata":"https://www.wikidata.org/wiki/Q183134","display_name":"Sepsis","level":2,"score":0.3804999887943268},{"id":"https://openalex.org/C2776341189","wikidata":"https://www.wikidata.org/wiki/Q189470","display_name":"Fistula","level":2,"score":0.375},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.3635999858379364},{"id":"https://openalex.org/C2777323849","wikidata":"https://www.wikidata.org/wiki/Q616003","display_name":"Aortic aneurysm","level":3,"score":0.3555000126361847},{"id":"https://openalex.org/C2776543907","wikidata":"https://www.wikidata.org/wiki/Q5376563","display_name":"Endovascular aneurysm repair","level":4,"score":0.3529999852180481},{"id":"https://openalex.org/C2776098176","wikidata":"https://www.wikidata.org/wiki/Q189389","display_name":"Aneurysm","level":2,"score":0.29490000009536743},{"id":"https://openalex.org/C2908992689","wikidata":"https://www.wikidata.org/wiki/Q134955","display_name":"Duodenal Diseases","level":3,"score":0.27959999442100525},{"id":"https://openalex.org/C2994150672","wikidata":"https://www.wikidata.org/wiki/Q17143044","display_name":"Aortic repair","level":3,"score":0.2653000056743622}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1177/15385744261479110","doi":"https://doi.org/10.1177/15385744261479110","is_oa":false,"landing_page_url":"https://doi.org/10.1177/15385744261479110","pdf_url":null,"source":{"id":"https://openalex.org/S100253076","display_name":"Vascular and Endovascular Surgery","issn_l":"1538-5744","issn":["1538-5744","1938-9116"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Vascular and Endovascular Surgery","raw_type":"journal-article"},{"id":"pmid:42619325","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42619325","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Vascular and endovascular surgery","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9940000176429749,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":36,"referenced_works":["https://openalex.org/W1266354626","https://openalex.org/W1963800184","https://openalex.org/W1963923387","https://openalex.org/W1980141814","https://openalex.org/W1986971828","https://openalex.org/W1988492938","https://openalex.org/W2013454985","https://openalex.org/W2035111079","https://openalex.org/W2052838048","https://openalex.org/W2069469875","https://openalex.org/W2089077011","https://openalex.org/W2103918036","https://openalex.org/W2114346797","https://openalex.org/W2171308159","https://openalex.org/W2554443637","https://openalex.org/W2614694672","https://openalex.org/W2800383356","https://openalex.org/W2917415561","https://openalex.org/W2965667660","https://openalex.org/W3006311297","https://openalex.org/W3007639727","https://openalex.org/W3010829225","https://openalex.org/W3022572038","https://openalex.org/W3024013895","https://openalex.org/W3038629083","https://openalex.org/W3083101507","https://openalex.org/W3133610175","https://openalex.org/W3186262378","https://openalex.org/W4200628395","https://openalex.org/W4308552007","https://openalex.org/W4381056683","https://openalex.org/W4391428595","https://openalex.org/W4391451499","https://openalex.org/W4392566110","https://openalex.org/W4412856178","https://openalex.org/W7136158739"],"related_works":["https://openalex.org/W7160428112","https://openalex.org/W3014810725","https://openalex.org/W2896483636","https://openalex.org/W4308552007","https://openalex.org/W7171508195","https://openalex.org/W1266354626","https://openalex.org/W2947111741","https://openalex.org/W1973100205","https://openalex.org/W4285309827","https://openalex.org/W3032089437"],"abstract_inverted_index":{"IntroductionSecondary":[0],"aortoduodenal":[1],"fistula":[2],"(SADF)":[3],"is":[4,28,183],"a":[5,156],"rare":[6],"but":[7,101,188],"life-threatening":[8],"complication":[9],"of":[10,24,38],"abdominal":[11],"aortic":[12,111,166],"aneurysm":[13],"(AAA)":[14],"repair,":[15],"most":[16],"commonly":[17],"involving":[18],"the":[19,25,68,71,110,132,140,165,193],"third":[20],"or":[21],"fourth":[22],"part":[23],"duodenum.":[26],"Diagnosis":[27],"challenging,":[29],"and":[30,54,82,87,106,124,134,152,167,174,179],"management":[31,161],"remains":[32,88],"controversial.Case":[33],"PresentationWe":[34],"report":[35],"two":[36],"cases":[37,130],"SADF":[39],"following":[40],"open":[41],"AAA":[42],"repair.":[43],"Both":[44],"patients":[45],"presented":[46],"with":[47,61,77,84,98],"herald":[48],"bleed":[49],"preceding":[50],"massive":[51],"gastrointestinal":[52],"haemorrhage":[53],"haemodynamic":[55],"collapse.":[56],"Initial":[57],"stabilisation":[58],"was":[59,113],"achieved":[60],"emergency":[62],"endovascular":[63],"stent":[64],"grafting":[65],"(EVAR).":[66],"In":[67],"first":[69],"case,":[70],"patient":[72,95,172],"underwent":[73,96],"definitive":[74,190],"two-stage":[75],"repair":[76,148,191],"axillobifemoral":[78],"bypass,":[79],"graft":[80,112],"explantation":[81],"duodenectomy":[83,97],"duodenojejunal":[85,99],"anastomosis,":[86,100],"well":[89,138],"at":[90],"three-year":[91],"follow-up.":[92],"The":[93],"second":[94],"due":[102],"to":[103,158,171],"severe":[104],"comorbidities":[105,173],"occluded":[107],"femoral":[108],"arteries":[109],"left":[114],"in":[115,144,185],"situ.":[116],"Despite":[117],"initial":[118],"recovery,":[119],"he":[120],"developed":[121],"overwhelming":[122],"sepsis":[123],"died":[125],"on":[126],"postoperative":[127],"day":[128],"10.DiscussionThese":[129],"highlight":[131],"diagnostic":[133],"therapeutic":[135],"challenges,":[136],"as":[137,139,155],"complex":[141],"decision-making":[142],"required":[143],"these":[145],"patients.":[146],"Endovascular":[147],"provides":[149],"life-saving":[150],"haemostasis":[151],"can":[153],"serve":[154],"bridge":[157],"surgery.":[159],"Definitive":[160],"must":[162],"address":[163],"both":[164],"duodenal":[168],"components,":[169],"tailored":[170],"anatomy.ConclusionSADF":[175],"requires":[176],"prompt":[177],"recognition":[178],"multidisciplinary":[180],"management.":[181],"EVAR":[182],"invaluable":[184],"acute":[186],"stabilisation,":[187],"surgical":[189],"offers":[192],"best":[194],"long-term":[195],"outcomes.":[196]},"counts_by_year":[],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2026-08-20T00:00:00"}
