Diagnosis and management of colovesical fistulas

Steele, Muriel; Deveney, Clifford W.; Burchell, Mary C.

doi:10.1007/bf02586752

Cited by 45 publications

(18 citation statements)

References 12 publications

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“…Simple decompression with an indwelling catheter alone may be sufficient for small defects. 61,66,67 Lynn et al found the risk of recurrence was significantly higher in advanced bladder repairs, although this study included non-diverticular colovesical fistulas. 26 Initially, it was recommended that the indwelling catheter remain in situ for 14 days; however, recent studies have shown no difference between early or late removal, and prolonged catheter use was associated with an increased risk of infection.…”

Section: 61mentioning

confidence: 99%

Laparoscopic Management of Diverticular Colovesical Fistula: Experience in 15 Cases and Review of the Literature

Marney

2013

International Surgery

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Colovesical fistulas secondary to diverticular disease may be considered a contraindication to the laparoscopic approach. The feasibility of laparoscopic management of complicated diverticulitis and mixed diverticular fistulas has been demonstrated. However, few studies on the laparoscopic management of diverticular colovesical fistulas exist. A retrospective analysis was performed of 15 patients with diverticular colovesical fistula, who underwent laparoscopic-assisted anterior resection and bladder repair. Median operating time was 135 minutes and median blood loss, 75 mL. Five patients were converted to an open procedure (33.3%) with an associated increase in hospital stay (P ¼ 0.035). Median time to return of bowel function was 2 days and median length of stay, 6 days. Overall morbidity was 20% with no major complications. There was no mortality. There was no recurrence during median follow-up of 12.4 months. These results suggest that laparoscopic management of diverticular colovesical fistulas is both feasible and safe in the setting of appropriate surgical expertise.

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Section: 61mentioning

confidence: 99%

Laparoscopic Management of Diverticular Colovesical Fistula: Experience in 15 Cases and Review of the Literature

Marney

2013

International Surgery

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“…Second, there is no consensus about bladder wall management in CVF repair. Many techniques for bladder management have been reported, including Foley catheter drainage only, simple closure of the fistula, an omental patch to close the bladder defect, and partial or total cystectomy depending on the individual characteristics in each case [28][29][30] . Recent studies have shown that early removal of the urinary catheter does not increase morbidity, whereas long-term catheterization has a high risk of urinary tract infection.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic surgery for colovesical fistula associated with sigmoid colon diverticulitis: a review of 39 cases

Tomizawa

Toda

Tate

et al. 2019

J Anus Rectum Colon

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Objectives: Colonic diverticular disease is widespread in Western countries and its associated with aging. In Japan, diverticulitis and colovesical fistula are also occurring more frequently. Colonic resection for diverticula-related fistulas is frequently technically demanding because of associated acute or chronic inflammation. We evaluated the safety and efficacy of a standardized laparoscopic procedure. Methods: Data from 39 consecutive patients who had undergone laparoscopic surgery for colovesical fistula between October 2006 and August 2017 were retrospectively reviewed. Results: The patients' median age was 60 years and comprised 35 men and four women. Sigmoidectomy was performed in 33 patients, Hartmann's procedure in four, and anterior resection in two. The median operative time was 203 minutes and estimated blood loss 15 mL. There were no intraoperative complications or conversion to open surgery. No patients required bladder repair; three had minor postoperative complications, and none had recurrent diverticulitis or fistula at a mean follow-up of 5.1 years. Conclusions: The magnified vision and minimal invasiveness make a laparoscopic approach the ideal means of managing colovesical fistula. To our knowledge, this is the largest study of colovesical fistula managed by a standardized laparoscopic procedure.

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“…İlaveten mesane onarımı sonrası araya omental flep çev-rilmesi ile ilişkin önerilerde bulunmaktadır [9] . Mesane ve kolon'un künt olarak ayrılıp, mesane ve kolondaki defekte basit kapama yapıldığı; intestinal rezeksiyonun yapılmadı-ğı "pinch off" yöntemide literatürde mevcuttur [10] . Görül-düğü gibi vezikokolonal fistül cerrahisinde bir konsensus oluşmamıştır.…”

Section: Discussionunclassified

Laparoscopic Treatment of an Atypic Vezicosygmoid Fistula

Akan¹

2017

Haydarpasa Numune Med J

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Kolovezikal fistüller nadirdir ve tanı ve tedavileri zordur. Bu hastalarda tedavinin amacı, fistül traktının çıkarılıp üriner ve fekal sızdırmazlık ve sürekliliğin yeniden tesis edilmesidir. Ancak bu tedavi bazen, basit bir yönlendirme kolostomi iken bazen de kompleks çok aşamalı prosedürlere kadar değişen cerrahi tedavileri içermektedir. Benign kolorektal hastalıkta laparoskopi uygulaması son zamanlarda endoskopik işlemlerin doğasında olan avantajları nedeniyle çeki-ci bir seçenek haline gelmiştir.Biz de burada vezikosigmoid fistül nedeniyle laparoskopik cerrahi uyguladığımız hastamızı literatür eşliğinde tartıştık. Olgu SunumuHastaya oral, rektal ve iv kontrastlı tüm abdomen spiral (helikal) bilgisayarlı tomografi (BT) yapıldı. BT'de mesanede duvar kalınlaşması dışında herhangi bir patolojik bulgu görülmedi. İntestinal hava/sıvı seviyesi görülmedi. GastroMesane ile sigmoid kolon arasında spontan fistül oluşumu oldukça nadirdir. Genelde altta yatan sebep sigmoid kolon divertiküllerinin inflame olması ve mesane duvarına perfore olmasıdır. Bazen sigmoid kolondaki tümörlerin mesaneye infiltre olması ile de gelişebilir. Bunların dışında inflamatuvar bağırsak hastalıkları, tüberküloz, lenfoma, travma ve geçi-rilmiş cerrahi girişimler altta yatan diğer sebeplerdir. Biz bu sebeplerin hiçbirinin olmadığı, spontan gelişen ve nedeni belli olmayan bir vezikosigmoid fistül olgusunu sunduk. Anahtar sözcükler: ; Laparoskopi; sigmoid kolon; vezikosigmoid fistül. Laparoscopic Treatment of an Atypical Vesicosygmoid FistulaAbstract Spontaneous fistula formation between the bladder and the sigmoid colon is a very rare entity. In general, the underlying cause is that the sigmoid colon diverticulum is inflated and perforated in the bladder wall. Sometimes, it can also develop due to infiltration of sigmoid tumors to the bladder wall. Inflammatory bowel diseases, tuberculosis, lymphoma, trauma, and previous surgical interventions are other potential underlying causes. Herein, a case of a vesicosigmoid fistula that developed spontaneously without any underlying specific etiology is presented.

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Diagnosis and management of colovesical fistulas

Cited by 45 publications

References 12 publications

Laparoscopic Management of Diverticular Colovesical Fistula: Experience in 15 Cases and Review of the Literature

Laparoscopic Management of Diverticular Colovesical Fistula: Experience in 15 Cases and Review of the Literature

Laparoscopic surgery for colovesical fistula associated with sigmoid colon diverticulitis: a review of 39 cases

Laparoscopic Treatment of an Atypic Vezicosygmoid Fistula

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