When the bowel meets the bladder: Optimal management of colorectal pathology with urological involvement

Keady, Conor; Hechtl, Daniel; Joyce, Myles R.

doi:10.4240/wjgs.v12.i5.208

Cited by 28 publications

(36 citation statements)

References 116 publications

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“…This reduces the risk of recurrence and is better than relying on the low likelihood of spontaneous closure resulting from defunctioning colostomy. Depending on the patient's age and timing of presentation, underlying co-morbidities and concurrent medical issues, surgical options may include either a one-stage repair or multiple stages of repair (1). It must however be borne in mind that these are major procedures and there are a select few who are too ill and not sufficiently fit to undergo timely surgery.…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic closure of a radiation induced colovesical fistula using the novel over-the-scope Padlock Clip system—a case report

Chiam¹,

Muthukaruppan²

2021

AME Surg J

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Colovesical fistulas (CVFs) are known complications of complicated diverticular disease, malignancy, and Crohn's colitis (1). With the increasing use of radiation therapy in relation to pelvic malignancies, we now have a rising incidence of benign radiation induced CVF that could potentially lead to recurrent bouts of cystitis, pyelonephritis, renal abscesses, renal impairment and systemic infection resulting from ongoing fecal contamination through the abnormal connection (2). The complications of urosepsis, in particular, carry high morbidity and mortality, and thus CVF should generally be an indication for surgical repair to avoid these problems (3). Unfortunately, not all patients are fit

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Section: Discussionmentioning

confidence: 99%

“…Furthermore, repeated bowel resections may become justified in the future, and the inherent risk of short-bowel syndrome needs to be considered. On the flipside, subjecting them to conservative management would not be ideal either (1).…”

Section: Discussionmentioning

confidence: 99%

Endoscopic closure of a radiation induced colovesical fistula using the novel over-the-scope Padlock Clip system—a case report

Chiam¹,

Muthukaruppan²

2021

AME Surg J

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“…Szacuje się iż około 10-20% przetok pęcherzowo-jelitowych spowodowanych jest chorobą nowotworową, natomiast około 2% ma związek z wcześniej przebytą radioterapią [47]. Przetoki pęcherzowo-jelitowe dotyczą głównie połączenia z jelitem grubym -70%, jelitem cienkim -13%, odbytnicą -11% i rzadziej wyrostkiem robaczkowym (poniżej 3%) [48]. Występują częściej u mężczyzn [49].…”

Section: Czynniki Ryzyka Powikłanego Zakażenia Układu Moczowegounclassified

Urinary tract infections in palliative care

Toczek-Wasiak¹,

Salata²,

Dzierżanowski³

2022

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Zakażenia układu moczowego należą do jednych z najczęściej występujących chorób infekcyjnych. Pacjenci objęci opieką paliatywną są obarczeni zwiększonym ryzykiem pojawienia się tej choroby. Objawy zakażenia mogą być uciążliwe i znacząco wpływają na jakość życia chorych. Obraz kliniczny może być bardzo zróżnicowany. Dominują zakażenia powikłane. Do rozpoznania niezbędny jest wywiad lekarski, badanie fizykalne i badania dodatkowe. Złotym standardem jest posiew moczu. Podstawą leczenia jest usunięcie czynników modyfikowalnych i antybiotykoterapia celowana. Po wdrożeniu leczenia złagodzenie objawów towarzyszących zakażeniu uzyska 60-90% chorych z zaawansowaną chorobą nowotworową. W każdym przypadku należy rozważyć potencjalne korzyści i ryzyko z zastosowania terapii przeciwdrobnoustrojowej.Słowa kluczowe: zakażenie układu moczowego, opieka paliatywna, opieka u kresu życia, antybiotykoterapia.

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“…It is estimated that CVF accounts for 1 in every 3000 surgical admissions, and that 2% to 18% of patients with diverticular disease develop this complication. The peak incidence is at 65 to 75 years of age, and the male to female ratio is 2 to 3:1 2–5. The underlying mechanism of CVF is either a direct extension of diverticulitis or erosion of a diverticular abscess into the bladder.…”

mentioning

confidence: 99%

“…The peak incidence is at 65 to 75 years of age, and the male to female ratio is 2 to 3:1. [2][3][4][5] The underlying mechanism of CVF is either a direct extension of diverticulitis or erosion of a diverticular abscess into the bladder. The main clinical manifestations of CVF are pneumaturia, fecaluria, and urinary tract infection.…”

mentioning

confidence: 99%

Burden of Colovesical Fistula and Changing Treatment Pathways: A Systematic Literature Review

Froiio

Bernardi

Asti

et al. 2022

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Purpose: Colovesical fistula (CVF) is a rare complication of sigmoid diverticulitis causing significant morbidity and quality of life impairment. Aim of this study was to analyze contemporary literature data to appraise the current standard of care and changes of treatment algorithms over time.Materials and Methods: A systematic review of the literature on surgical management of CVF was conducted through PUBMED, EMBASE, and COCHRANE databases, according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement guidelines.Results: Fourteen papers published between 2014 and 2020 and including 1061 patients were analyzed. One-stage colonic resection with primary anastomosis, with or without loop ileostomy, was the most common surgical procedure. A laparoscopic or robotic approach was attempted in 39.5% of patients, and conversion rate to open surgery was 7.8%. Clavien-Dindo grade ≥ 3 complication rate, 30-day mortality, and recurrence rate were 7.4%, 1.5%, and 0.5%, respectively.Conclusions: Minimally invasive sigmoidectomy with primary anastomosis is safe and should be the first-choice approach for CVF. Bladder repair is not necessary after a negative intraoperative leak test. A standardized perioperative care can improve clinical outcomes and reduce the length of hospital stay and the duration of Foley catheterization.

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When the bowel meets the bladder: Optimal management of colorectal pathology with urological involvement

Cited by 28 publications

References 116 publications

Endoscopic closure of a radiation induced colovesical fistula using the novel over-the-scope Padlock Clip system—a case report

Endoscopic closure of a radiation induced colovesical fistula using the novel over-the-scope Padlock Clip system—a case report

Urinary tract infections in palliative care

Burden of Colovesical Fistula and Changing Treatment Pathways: A Systematic Literature Review

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