Colovesical fistulas

Krco, Michael J.; Malangoni, Mark A.; Jacobs, Stephen C.; Lawson, Russell K.

doi:10.1016/0090-4295(84)90135-3

Cited by 28 publications

(12 citation statements)

References 19 publications

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“…Intravenous urography, as with a plain film does not delineate the fistula, unless the patient has severe outflow obstruction [18]. Barium enema and computerized tomography have an important complimentary role giving important information as to the primary pathology [19]. In our series barium enema was abnormal in all patients with colovesical fistula but only revealed the fistula in 15% of patients.…”

Section: Discussionmentioning

confidence: 60%

Diagnostic lessons learnt from a series of enterovesical fistulae

et al. 2002

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Section: Discussionmentioning

confidence: 60%

Diagnostic lessons learnt from a series of enterovesical fistulae

et al. 2002

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“…Successful one-stage resections have been reported in 18% to 92% of EVF cases [54, 62]. Surgical technique involves blunt dissection of the bowel from the bladder, resection of the intestine, and primary anastomosis.…”

Section: Management Of Enterovesical Fistulaementioning

confidence: 99%

Enterovesical Fistulae: Aetiology, Imaging, and Management

Gołąbek

Szymańska

Szopiński

et al. 2013

Gastroenterology Research and Practice

120

194

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Background and Study Objectives. Enterovesical fistula (EVF) is a devastating complication of a variety of inflammatory and neoplastic diseases. Radiological imaging plays a vital role in the diagnosis of EVF and is indispensable to gastroenterologists and surgeons for choosing the correct therapeutic option. This paper provides an overview of the diagnosis of enterovesical fistulae. The treatment of fistulae is also briefly discussed. Material and Methods. We performed a literature review by searching the Medline database for articles published from its inception until September 2013 based on clinical relevance. Electronic searches were limited to the keywords: “enterovesical fistula,” “colovesical fistula” (CVF), “pelvic fistula”, and “urinary fistula”. Results. EVF is a rare pathology. Diverticulitis is the commonest aetiology. Over two-thirds of affected patients describe pathognomonic features of pneumaturia, fecaluria, and recurrent urinary tract infections. Computed tomography is the modality of choice for the diagnosis of enterovesical fistulae as not only does it detect a fistula, but it also provides information about the surrounding anatomical structures. Conclusions. In the vast majority of cases, this condition is diagnosed because of unremitting urinary symptoms after gastroenterologist follow-up procedures for a diverticulitis or bowel inflammatory disease. Computed tomography is the most sensitive test for enterovesical fistula.

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“…Lack of standardized management protocols and low patient accrual rates have confounded results. No studies have included long-term follow-up (Table 1) [3,[7][8][9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Colonic resection for colovesical fistula: 5‐year follow‐up

et al. 2002

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OBJECTIVES: The outcome of colovesical fistula management may be unsatisfactory; complications are reported in up to 45% of patients. Published studies are retrospective and tend to lack standardized management strategies and long-term follow-up. This cohort study assesses a policy of resection of colovesical fistulae in continuity with any distal colorectal stricture, and includes 5-year follow-up. METHOD: All patients undergoing surgery in our institution for colovesical fistula between February 1991 and April 1995 were entered into the study. The fistulae were resected in continuity with any distal bowel stricture, according to a standard single-stage operative protocol. Postoperative mortality and morbidity were recorded, and prospective review was undertaken at April 2000. RESULTS: Nineteen consecutive patients entered the study. The source of the fistula was diverticular disease (n = 14), colorectal cancer (n = 3), trauma (n = 1) or Crohn's (n = 1) disease. Thirteen patients had a colorectal stricture. One patient died due to ischaemic colitis within 30 days of surgery. Eleven other patients died of unrelated causes before April 2000, in whom there was no evidence of fistula recurrence before death at a median of 37 months after operation (range 2-95 months). At 5-year follow-up there was no evidence of fistula recurrence in the seven remaining patients. CONCLUSIONS: A policy of resection of the fistula and associated colorectal stricture with primary bowel anastomosis and bladder drainage, resulted in no recurrences and low morbidity. However comorbidity is important in this patient population, most of whom will die from unrelated causes within a few years.

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Colovesical fistulas

Cited by 28 publications

References 19 publications

Diagnostic lessons learnt from a series of enterovesical fistulae

Diagnostic lessons learnt from a series of enterovesical fistulae

Enterovesical Fistulae: Aetiology, Imaging, and Management

Colonic resection for colovesical fistula: 5‐year follow‐up

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