One-Stage Resections for Colovesical Fistulas

Carpenter, William S.; Allaben, Robert D.; Kambouris, Angelos A.

doi:10.1016/s0022-5347(17)60706-7

Cited by 29 publications

(7 citation statements)

References 5 publications

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“…Management of the bladder during surgery for EVF varies considerably [5,9,14,55,70]. The choice of urinary drainage alone, simple closure of the fistula, and partial or total cystectomy depends on the condition of the fistula [8].…”

Section: Surgerymentioning

confidence: 99%

Enterovesical fistulas: diagnosis and management

2010

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Enterovesical fistula (EVF) is an abnormal communication between the intestine and the bladder. It represents a rare complication of inflammatory or neoplastic disease, and traumatic or iatrogenic injuries. The most common aetiologies are diverticular disease and colorectal carcinoma. Over 75% of affected patients describe pathognomonic features of pneumaturia, faecaluria and recurrent urinary tract infections. The diagnosis of EVF can be challenging, and frequently patients are monitored for months before the condition is recognised and treated effectively. Diagnostic tools include laboratory tests, imaging studies and endoscopic procedures. Although conservative management can be attempted in selected patients, in most cases, the treatment is mainly based on surgical interventions. Recently, the laparoscopic approach to EVF has been shown to be safe and effective. Although it is a rare condition in a general surgery setting, EVF is a challenging condition leading to high morbidity and mortality rates.

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Section: Surgerymentioning

confidence: 99%

Enterovesical fistulas: diagnosis and management

2010

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“…Incidence ranges from 2 to 22% of patients with a known large bowel diverticulosis [1]. In addition, 10–15% of patients requiring surgical intervention for colonic diverticulosis have a symptomatic colovesical communication [2]. Up to 75% of colovesical fistulas are associated with colon diverticulitis [3].…”

Section: Discussionmentioning

confidence: 99%

“…Colovesical fistula appears in 2% to 22% of patients with a documented diverticulitis, while 10% to 15% of patients requiring surgical treatment for diverticulitis have fistula [1, 2]. Prior to fistula formation, diverticulosis is usually symptomatic.…”

Section: Introductionmentioning

confidence: 99%

Recurrent Urinary Tract Infections due to Asymptomatic Colonic Diverticulitis

Falidas

Anyfantakis

Boutzouvis

et al. 2012

Case Reports in Medicine

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Colovesical fistula is a common complication of diverticulitis. Pneumaturia, fecaluria, urinary tract infections, abdominal pain, and dysuria are commonly reported. The authors report a case of colovesical fistula due to asymptomatic diverticulitis, and they emphasize the importance of deeply investigate recurrent urinary tract infection without any bowel symptoms. They also briefly review the literature.

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“…Eine Harnwegsinfektion wird in 70 bis 80% der Fälle beobachtet [2][3][4][5][6][7][8][9]. Andere weniger spezifische Symptome wie Dysurie, häufiges Wasserlassen, Hämaturie, Wechsel in den Stuhlgewohnheiten [7], Hämatochezie, Urinabgang über das Rektum [2], Diarrhoe [3], abdominelle Schmerzen [4], Orchitis [6] Die Maßnahmen an der Blase wäh-rend eines Eingriffs wegen EVF sind sehr unterschiedlich [5,9,14,55,70]. Die Wahl, ob man eine ausschließliche Harndrainage, einen einfachen Fistelverschluss und eine partielle oder totale Zystektomie einsetzt, hängt vom Zustand der Fistel ab [8].…”

Section: üBersetzter Nachdruckunclassified