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.
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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)
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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)
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