Experience with colovesical fistula

McConnell, Donald B.; Sasaki, Truman M.; Vetto, R. Mark

doi:10.1016/0002-9610(80)90421-3

Cited by 31 publications

(4 citation statements)

References 11 publications

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“…Bis heute allerdings existiert kein Leitfaden der Diagnostik und Therapie von Sigma-BlasenFisteln. Die meisten verfügbaren Studien über kolovesikale Fisteln setzen sich aus einem heterogenen Kollektiv zusammen, in dem neben der Sigmadivertikulitis auch Neoplasien, chronisch entzündliche Darmerkrankungen oder auch Strahlenschäden für die Entstehung der Fistel ursächlich sind [2,3,4,7,9,10,12]. In unserer Studie hingegen wurden ausschließ-lich Sigma-Blasen-Fisteln auf dem Boden einer Divertikulitis eingeschlossen um das Kollektiv homogen und vergleichbar zu halten.…”

Section: Diskussionunclassified

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Kolovesikaler Fisteln auf dem Boden einer Sigmadivertikulitis

Leicht

Thomas

Thüroff

et al. 2012

Urologe

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Section: Diskussionunclassified

“…vorliegende Abszedierung bzw. Tumorausbreitung und die Beziehung zu benachbarten Organen [8,10,13,16]. Der direkte Fistelnachweis gelingt im Schnitt in nur 30-60% [6,8,16].…”

Section: Diskussionunclassified

Kolovesikaler Fisteln auf dem Boden einer Sigmadivertikulitis

Leicht

Thomas

Thüroff

et al. 2012

Urologe

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“…Entero‐urinary fistulae are an uncommon complication of inflammatory disease [1,2], malignancy [3], surgery [4] and radiotherapy [5]. The commonest connection is between the sigmoid colon/rectum and the bladder [6] but fistulous tracks can develop between small or large bowel along any section of the urinary tract.…”

Section: Introductionmentioning

confidence: 99%

“…There are several reports of the treatment of entero‐urinary fistula [1–5,7–19] but there is little comment on experience with complex entero‐urinary fistulae and sepsis. Furthermore, most series describe experience with simple colovesical fistulae only.…”

Section: Introductionmentioning

confidence: 99%

The staged management of complex entero‐urinary fistulae

Shackley¹,

Brew²,

Bryden³

et al. 2000

BJU International

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Objective To present the results of the staged management of complex entero-urinary ®stulae. Patients and methods Ten patients with complex enterourinary ®stulae were reviewed; all patients were referred to a national intestinal failure unit after failed treatment in other centres. Each patient was treated in three stages. The acute stage involved proximal defunctioning and distal drainage of both the gastrointestinal and urinary tracts to isolate the ®stula, together with the eradication of sepsis. The recovery stage involved total parenteral nutrition, organ support, radiological planning of surgical reconstruction and intensive nursing. The reconstructive stage followed when the patient was stable, nutritionally replenished and intra-abdominal sepsis was controlled. Surgery was undertaken jointly by urological and gastrointestinal surgeons. Results The ®stulae were treated successfully in all patients, with functional restoration in four, and/or diversion of the gastrointestinal and urological tracts in six. The mean (range) time to reconstruction was 5 (1±20) months. There were no postoperative deaths. Conclusion A staged multidisciplinary approach with delayed reconstruction can achieve a successful outcome in the management of complex enterourinary ®stulae.

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Management of colovesical fistulae associated with pelvic malignancy

Holmes

Christmas

Kirby

et al. 1992

Journal of British Surgery

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Thirteen patients with malignant colovesical fistulae are presented. The underlying pathology was cancer of the colon (seven cases), bladder (four cases) and cervix (two cases). The series demonstrates that wide surgical excision may be needed to achieve tumour clearance and that this may necessitate pelvic exenteration. Three patients who underwent inadequate tumour excision developed recurrence in the bladder, two with a fatal outcome. Wide excision of the bladder may be performed without urinary diversion by subtotal cystectomy and a reconstructive procedure. Substitution cystoplasty was performed on two patients at the time of tumour excision. Urinary tract involvement by such tumours is often extensive and optimal results may be achieved with a multidisciplinary approach.

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Experience with colovesical fistula

Cited by 31 publications

References 11 publications

Kolovesikaler Fisteln auf dem Boden einer Sigmadivertikulitis

Kolovesikaler Fisteln auf dem Boden einer Sigmadivertikulitis

The staged management of complex entero‐urinary fistulae

Management of colovesical fistulae associated with pelvic malignancy

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