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An Analysis of Enterovesical Fistulas in Patients Hospitalized in Medical University of the Infant Jesus Hospital in Warsaw from 1995 to 2006

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Kuzaka B., Kawecki D., Borkowski T., Broda J., Wierzbicki Z., Małkowski P., Chmura A., Borkowski A.
Polish Journal of Surgery
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2009
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vol. 81
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issue 9
400-404
EN
Enterovesical fistulas (EF) are a relatively uncommon complications of colorectal and pelvic malignancies, diverticulitis, inflammatory bowel disease, radiotherapy and traumas. Authors reviewed material of 24 patients hospitalized in the Jesus Infant Hospital Medical University of Warsaw from 1995 to 2006.Material and methods. A total of 24 symptomatic fistulas were recorded in a 13 of women and 11 of men. In all cases of persistent fistulas were treated by surgical and/or urological interventions. The origin of the fistulas were: colorectal malignancies 16 of patients (67%), pelvic malignancies 2 patients (8%), vesical malignancies 3 patients (12.5%) and other 3 patients (12.5%). The most common anatomical anastomoses were as follows: vesicosigmoidal fistula in 12 patients (50%), vesicorectal fistula in 4 patients (16.5%), vesicoenteral fistula in 2 patients (8.5%), urogenitoenteral fistula in 3 patients (12.5%), other in 3 patients (12.5%).Results. Surgical treatment of fistulas were: colostomy in 15 patients (50%), enteral resections and anastomoses in 6 patients (20%), transversostomy 3 patients (10%), jejunostomy 1 patient (3%), other in 5 patients (17%). To the end of 2006 from 24 patients underwent of treatment : 9 patients are alive (37.5%), 8 patients death (33.3%), 7 unknown (29.2%). The median period of life were 12 months (from 1 to 84 months) after.Conclusions. 1. The most common etiological factors of enterovesical fistulas were colorectal malignancies 67% of patients. 2. Only 20% of patients were underwent completly surgical treatment because of advenced malignancies. 3. The most common method of surgical treatment was colostomy in 63% of patients.
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