Abstract |
Analysis of the clinical course of patients with postirradiation rectovaginal fistula after fecal diversion. The studied group included 17 women with postirradiation rectovaginal fistula who underwent fecal diversion as a sole mode of treatment, between January 1987 and December 2002, in our department. All patients were subjected to radiotherapy due to cancer of the uterine cervix, administered 5-107 months before the fistula appearance (mean, 22.9 months). In 3 of 17 patients (18%), spontaneous closure of fistula was observed after 5, 6, and 9 months, respectively, from fecal diversion. Closure was confirmed by endoscopy. Length of follow-up after fecal diversion ranged from 0.5 to 122 months. The actuarial probability of spontaneous closure of postradiotherapy rectovaginal fistula was 0.24 at 9 months of follow-up and then remained stable thereafter. In conclusion, colostomy alone gives hardly a chance for closure of the postradiotherapy rectovaginal fistula. Additional surgical measures are necessary.
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Authors | J H Piekarski, B A Jereczek-Fossa, D Nejc, P Pluta, W Szymczak, P Sek, A Bilski, L Gottwald, A Jeziorski |
Journal | International journal of gynecological cancer : official journal of the International Gynecological Cancer Society
(Int J Gynecol Cancer)
2008 Jan-Feb
Vol. 18
Issue 1
Pg. 66-70
ISSN: 1525-1438 [Electronic] England |
PMID | 17466039
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Anus Diseases
(surgery)
- Colostomy
- Female
- Follow-Up Studies
- Humans
- Middle Aged
- Neoplasm Recurrence, Local
(etiology)
- Radiation Injuries
(etiology, surgery)
- Rectovaginal Fistula
(diagnosis, etiology, surgery)
- Retrospective Studies
- Uterine Cervical Neoplasms
(complications, radiotherapy)
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