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Title of Journal: J Gastrointest Surg

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Abbravation: Journal of Gastrointestinal Surgery

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Springer-Verlag

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DOI

10.1007/bf02661801

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1873-4626

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Outcome of Surgery for Colovesical and Colovaginal

Authors: R M Smeenk P W Plaisier J A B van der Hoeven W L E M Hesp
Publish Date: 2012/06/01
Volume: 16, Issue: 8, Pages: 1559-1565
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Abstract

According to literature colonic resection with a primary anastomosis and no defunctioning ileostomy is a safe treatment for colovesical or colovaginal fistula of diverticular origin This study investigates the outcome of surgery for this patient group in a regional hospitalA colovesical n = 35 or colovaginal n = 5 fistula was diagnosed in 18 men and 22 women The mean age was 69 years range 45–90 A rectosigmoid resection with primary anastomosis was performed in 32 patients Fourteen patients received a defunctioning ileostomy Eight patients were treated with a Hartmann procedure Overall 30day treatmentrelated morbidity and mortality was 48 and 8  respectively Major morbidity because of anastomotic leakage was mainly observed in the primary anastomosis group without a defunctioning ileostomy Morbidity and mortality were associated with high body mass index diabetes use of corticosteroids and American Society of Anesthesiologists classification though not significantly

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  5. Ezrin Expression Is an Independent Prognostic Factor in Gastro-intestinal Cancers
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  7. Surgeon Volume is Predictive of 5-Year Survival in Patients with Hepatocellular Carcinoma after Resection: A Population-Based Study
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  12. Giant Splenic Artery Pseudoaneurysm
  13. Impact of Resection for Primary Colorectal Cancer on Outcomes in Patients with Synchronous Colorectal Liver Metastases
  14. How I Do It: Laparoscopic Paraesophageal Hernia Repair
  15. Clinicopathologic Features of Gastric Carcinoma with Signet Ring Cell Histology
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