Non-visible colovesical fistula located by cystoscopy and successfully managed with the novel Padlock® device for endoscopic closure

Velayos, Benito; Olmo, L. del; Merino, Lucía Turrión; Valsero, María Esther; González, José Manuel

doi:10.1007/s00384-018-3008-8

Cited by 5 publications

(10 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One month later, cystography revealed that there was no contrast medium leakage into the rectum. Similar conservative treatment of rectovaginal fistula has been reported by Moreno-Selva et al, 13 3 reported a case of RVF that was treated with a novel over-thescope clip device Padlock V R system combined with urology. Kanehira et al 2 performed repair surgery for ten patients with RVF by transanal endoscopic microsurgery, among whom seven patients were cured and three procedures failed.…”

Section: Discussionsupporting

confidence: 60%

“…With the development of robotic surgery technology, Yeung et al 14 provided a parametric scheme for repairing RVF using robots. Recently, Velayos et al 3 reported a case of RVF that was treated with a novel over-thescope clip device Padlock V R system combined with urology. Kanehira et al 2 performed repair surgery for ten patients with RVF by transanal endoscopic microsurgery, among whom seven patients were cured and three procedures failed.…”

Section: Discussionmentioning

confidence: 99%

“…Many experts have tried a variety of surgical methods to manage RVF with good results, such as sphincter reservation by rectal approach, transperineal repair, transanal endoscopic microsurgery (TEM), 2 and a novel over-the-scope clip device Padlock V R system that is used in patients with non-visible colovesical fistula. 3 In this report, we observed that a rare case of RVF secondary to pelvic infection that was induced by anastomotic leakage after laparoscopic radical resection of rectal cancer. We managed this patient using conservative treatment, such as the double-cavity cannula irrigation-drainage, indwelling balloon urethral catheter, and no diverting ostomy, and satisfactory results were achieved.…”

Section: Introductionmentioning

confidence: 91%

See 2 more Smart Citations

Conservative treatment of rectovesical fistula after leakage following laparoscopic radical resection of rectal cancer

Yan

Sun

et al. 2020

J Int Med Res

View full text Add to dashboard Cite

Rectovesical fistula (RVF) is a multifactorial complication that can be caused by different types of laparoscopic surgery, malignant tumor invasion, and chronic inflammation. However, RVF as a postoperative complication of laparoscopic radical rectal cancer is rare and serious. Here, we describe the case of a patient with RVF secondary to pelvic infection that was induced by anastomotic leakage. The patient was managed with conservative treatment, which included doublecavity cannula irrigation-drainage, indwelling balloon urethral catheter, treating the urinary tract infection, partial parenteral nutrition, and enteral nutrition. The patient was discharged after his symptoms had improved. In this case report, we provide a feasible scheme for patients with RVF that is induced by postoperative anastomotic fistula. Inflammatory, infectious, and thrombotic factors are presumable factors that are involved in RVF pathogenesis. These findings provide new directions for the study of RVF induced by anastomotic leakage after rectal cancer surgery. Conservative treatment may be an option in patients who want to avoid an ostomy.

show abstract

Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 91%

See 1 more Smart Citation

Conservative treatment of rectovesical fistula after leakage following laparoscopic radical resection of rectal cancer

Yan

Sun

et al. 2020

J Int Med Res

View full text Add to dashboard Cite

show abstract

“…The use of OTS clips for colovesical and colovaginal fistulas has also been cited in the literature in several case reports. Velayos et al described successful use of an OTS clip (Padlock Clip, Aponos Medical, Kingston, NH, USA) to manage a colovesical fistula secondary to diverticulitis, using cystoscopic wire access similar to the technique presented in this series [16]. Several small case series of OTS clip use throughout the entire GI tract include individual patients with colovesical and colovaginal fistulas, again treated with variable success [17, 18].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic management of colovesical and colovaginal fistulas with over‐the‐scope clips: A single‐institution case series

et al. 2021

View full text Add to dashboard Cite

Aim: Conventional surgical management of colovesical and colovaginal fistulas can be morbid and is contraindicated in many patients. Our aim in this work is to evaluate our experience in the management of colovesical and colovaginal fistulas with endoscopic over-the-scope (OTS) clips. Method:A retrospective review of all patients who underwent attempted endoscopic OTS clip management of colovesical and colovaginal fistulas between 2013 and 2020 was performed. Preoperative risk factors, operative details and postoperative outcomes are reported.Results: Ten patients were identified. Fistula types were: colovesical (five), rectovesical (two), colovaginal (two) and rectovaginal (one). The aetiology of the fistula was diverticular disease in seven (70%) cases and surgical complication of pelvic surgery in three (30%).The mean defect age was 157 ± 98 days, the mean defect diameter was 4.5 mm (range 2-10 mm) and the mean fistula length was 15 mm (range 2-25 mm). In nine (90%) cases, fistula identification and cannulation were performed through the nonenteric lumen of the fistula. Initial management with an OTS clip was technically successful in eight (80%) patients. Of the eight patients who underwent OTS clip placement, long-term success (mean follow-up 218 days, range 25-673 days) was achieved after initial intervention in four (50%) patients. One patient underwent serial OTS clip procedures and achieved long-term success after four interventions; three patients have not undergone a repeat procedure after initial failure. Conclusion:Endoscopic management of colovesical and colovaginal fistulas with OTS clips offers a promising therapeutic option for patients with contraindications to conventional surgical management. Immediate technical success and long-term success rates are similar to other gastrointestinal tract applications of OTS clips.

show abstract

“…A few cases of endoscopic closure of the colonic side of a CVF using through-the-scope or OTSC have been described in the literature. 13,14…”

Section: Videomentioning

confidence: 99%

Novel Endoscopic Management of Colovesical Fistula Secondary to Colonic Diverticular Disease

Mallaiyappan

Sankarapandian

Venugopal

et al. 2021

Journal of Digestive Endoscopy

View full text Add to dashboard Cite

Colovesical fistula (CVF) is an abnormal communication between bowel and urinary bladder. Most common cause is complicated colonic diverticular disease. The treatment of choice for CVF is surgery. Conservative treatment is reserved for highly selected patients who are unfit for definitive surgery. We report the case of an 86-year-old gentleman with multiple comorbidities, who presented with pneumaturia, fecaluria, and recurrent urinary tract infection. He was diagnosed to have sigmoid colonic diverticulosis with a CVF and was successfully managed with the novel combined endoscopic approach (a simultaneous cystoscopy and flexible colonoscopy), which could be the first to be reported from India.

show abstract

Non-visible colovesical fistula located by cystoscopy and successfully managed with the novel Padlock® device for endoscopic closure

Cited by 5 publications

References 10 publications

Conservative treatment of rectovesical fistula after leakage following laparoscopic radical resection of rectal cancer

Conservative treatment of rectovesical fistula after leakage following laparoscopic radical resection of rectal cancer

Endoscopic management of colovesical and colovaginal fistulas with over‐the‐scope clips: A single‐institution case series

Novel Endoscopic Management of Colovesical Fistula Secondary to Colonic Diverticular Disease

Contact Info

Product

Resources

About