Acquired enterovesical fistulas
12 patients with acquired enterovesical fistulasduring a period between 1990 and 2002 were reviewed., considering etiological aspects, clinicalpresentation, paraclinical examinations and surgicaltreatment and comparing them with those insimilar published series.Etiology includes diverticular disease...
Sábháilte in:
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| Rannpháirtithe: | , |
| Formáid: | article |
| Teanga: | Spáinnis |
| Foilsithe / Cruthaithe: |
2006
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| Ábhair: | |
| Rochtain ar líne: | https://revista.scu.org.uy/index.php/cir_urug/article/view/4609 |
| Clibeanna: |
Níl clibeanna ann, Bí ar an gcéad duine le clib a chur leis an taifead seo!
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| Achoimre: | 12 patients with acquired enterovesical fistulasduring a period between 1990 and 2002 were reviewed., considering etiological aspects, clinicalpresentation, paraclinical examinations and surgicaltreatment and comparing them with those insimilar published series.Etiology includes diverticular disease (six cases),Crohn’s disease (three cases), radiation injury(one case) and surgical or instrumental iatrogenia(two cases).Specific symptoms and the clinical presentationwere related to the causal disease.Paraclinical examinations were analysed. Theimportance of computerized abdominal tomographyis emphatically stressed.Finally, treatment and outcomes were considered.In all cases surgery was performed. The mostcommon procedure (75%) was intestinal resectionwith primary anastomosis (one-stage resection) andvesical repair. Other procedures were colostomywithout resection (16%) and resection withoutanastomosis (8%).No mortality was registered and the outcomewas favourable in all cases. The functional resultswere better in one-stage resection cases.We concluded that enterovesical fistula is a raredisease. Etiology and relative frequency is similarto those in other published series with the only differencethat no neoplastic fistulas were found..Surgical treatment is effective and one stage resectionand anastomosis is recommended if possiblebecause the better functional outcome |
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