[Treatment of colovesical fistula: predictive factors of the maintenance of long-term digestion continuity].

Abstract

AIM OF THE STUDY:

Colovesical fistulas (CVF) may occur in inflammatory or tumoral pelvic diseases. The aim of this study was to analyze the surgical management of patients with a CVF in order to define predictive factors of good results and long term digestive continuity.

PATIENTS AND METHODS:

From 1989 to 1999, this retrospective study included 37 patients, 19 men and 18 women, mean age: 69 years (range 37-93 years). Main etiologies were colonic diverticulitis (n = 22) in 60% of the patients, cancer (n = 6) in 16%, previous radiotherapy (n = 5) in 14%. Treatment was a diverting colostomy in 13 cases, a colectomy in 24 cases without diverting colostomy in 10 cases.

RESULTS:

Overall postoperative mortality rate was 16%. With a mean follow-up of 47 months, digestive continuity was restored in 40% of the patients (100% in ASA 1 patients, 55% in ASA 2, 19% in ASA 3 and 0% in ASA 4).

CONCLUSIONS:

Our study suggests that long term digestive continuity following surgical treatment of colovesical fistulas does not depend upon etiology or surgical treatment but mainly upon the patient's ASA score.

• Authors: O Cappèle, M Scotté, B Songné, L Sibert, F Michot, P Ténière
• Journal: Annales de chirurgie (Ann Chir) Vol. 126 Issue 8 Pg. 751-5 (Oct 2001) ISSN: 0003-3944 [Print] France
• Vernacular Title: Traitement des fistules colovésicales: facteurs prédictifs du maintien de la continuité digestive à long terme.
• PMID: 11692759 (Publication Type: English Abstract, Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Colonic Diseases (surgery)
• Digestion (physiology)
• Female
• Humans
• Intestinal Fistula (surgery)
• Male
• Middle Aged
• Prognosis
• Time Factors
• Urinary Bladder Fistula (surgery)