Colonic resection for colovesical fistula: 5-year follow-up

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
K. G WalkerI. G Finlay

Abstract

OBJECTIVES: The outcome of colovesical fistula management may be unsatisfactory; complications are reported in up to 45% of patients. Published studies are retrospective and tend to lack standardized management strategies and long-term follow-up. This cohort study assesses a policy of resection of colovesical fistulae in continuity with any distal colorectal stricture, and includes 5-year follow-up. METHOD: All patients undergoing surgery in our institution for colovesical fistula between February 1991 and April 1995 were entered into the study. The fistulae were resected in continuity with any distal bowel stricture, according to a standard single-stage operative protocol. Postoperative mortality and morbidity were recorded, and prospective review was undertaken at April 2000. RESULTS: Nineteen consecutive patients entered the study. The source of the fistula was diverticular disease (n = 14), colorectal cancer (n = 3), trauma (n = 1) or Crohn's (n = 1) disease. Thirteen patients had a colorectal stricture. One patient died due to ischaemic colitis within 30 days of surgery. Eleven other patients died of unrelated causes before April 2000, in whom there was no evidence of fistula recurrence before death at a median of 37 month...Continue Reading

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Citations

Jul 10, 2010·Techniques in Coloproctology·G ScozzariM Morino
Aug 20, 2005·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M H SolkarM C Parker
Apr 25, 2006·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·G GarceaW M Thomas
Mar 29, 2012·Case Reports in Medicine·Evangelos FalidasConstantinos Villias
Nov 8, 2013·Techniques in Coloproctology·M S TamM A Abbas
May 16, 2014·BMJ Case Reports·Khilan PindoriaYassar Youssef
Jun 2, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·R M SmeenkW L E M Hesp
Apr 8, 2010·World Journal of Surgery·Yong Sik YoonJin Cheon Kim
Aug 12, 2009·The Journal of Surgical Research·Marc A de MoyaGeorge C Velmahos
Oct 18, 2008·Journal of the American College of Surgeons·Genoa G FergusonSteven B Brandes
Sep 13, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·R RadwanB M Stephenson
Nov 18, 2004·American Journal of Surgery·Samer F NajjarThomas A Miller
Jun 29, 2014·International Journal of Surgery Case Reports·M KhanbhaiM Solkar
Dec 23, 2015·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Marcos Tobias-MachadoAntonio Carlos Lima Pompeo
Apr 18, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·E J de GroofW A Bemelman
Sep 7, 2017·Langenbeck's Archives of Surgery·M GachabayovR Bergamaschi
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Jun 20, 2020·World Journal of Gastrointestinal Surgery·Conor KeadyMyles Joyce

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