Successful closure of a rectovaginal fistula by using an endoscopically placed Resolution clip

Gastrointestinal Endoscopy
Bijo K JohnKaumudi Somnay

Abstract

Rectovaginal fistula (RVF) is an abnormal epithelium-lined communication between the wall of the rectum and the posterior vaginal wall. The incidence of RVFs is low and accounts for about 5% of all anorectal fistulas. Women who suffer from an RVF complain of uncontrollable passage of gas or feces from the vagina. This remains a major contributor to morbidity associated with this condition in terms of social, psychologic, and sexual dysfunction. RVFs may be managed both medically and surgically, with the latter being the preferred option. A number of different surgical techniques that pertain to fistula closure were described in various literature; however, very little has been said of much-less-invasive techniques and alternatives to surgical correction if the patient is a poor candidate or prefers not to have surgery. The purpose of our article is to show our approach in treating an RVF, given the fact that our patient was a poor surgical candidate and, moreover, refused more-invasive techniques for treatment. A case report. The patient described in this article is a 77-year-old woman with comorbidities that limited her as a candidate for less-invasive techniques rather than surgery. An inpatient at New York Hospital Queens, F...Continue Reading

References

Oct 1, 1989·Diseases of the Colon and Rectum·J L CohenM C Veidenheimer
Jun 1, 1989·Diseases of the Colon and Rectum·J G MorrisonA E Timmcke
Sep 1, 1988·Diseases of the Colon and Rectum·A C LowryS M Goldberg
Aug 1, 1988·Diseases of the Colon and Rectum·R J WoodsF L Weakley
Sep 1, 1995·Diseases of the Colon and Rectum·H M MacRaeR Reznick
Jun 25, 1998·International Journal of Colorectal Disease·C A VasilevskyP H Gordon
Oct 17, 2001·Surgery·A L HalversonC Floruta
Jan 6, 2004·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·P FamiliariL Familiari
Aug 10, 2006·Diseases of the Colon and Rectum·Andrew A Shelton, Mark L Welton
Apr 17, 2007·American Journal of Surgery·M Shane McNevinTimothy W Bax
Dec 1, 1948·American Journal of Surgery·D R LAIRD

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Citations

Apr 1, 2010·World Journal of Gastroenterology : WJG·Federico IacopiniAgostino Scozzarro

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