9,932 results match your criteria Intestinal Fistulas Surgical Treatment


Colouterine Fistula Treated by a Double Endoscopic Approach.

J Obstet Gynaecol Can 2021 Jun 5. Epub 2021 Jun 5.

Department of Obstetrics and Gynecology, Surgical Endoscopic Unit. Hospital Universitari Son Llàtzer, Palma Spain.

Colouterine fistula associated with the use of an intrauterine device (IUD) is extremely rare. Clinical presentation may vary; however, to our knowledge, only 1 paper has previously reported menochezia as the main symptom of an utero-intestinal fistula as a complication of IUD use. Surgery is generally needed for definitive resolution of the fistula. Read More

View Article and Full-Text PDF

Feasibility and outcomes of cytoreductive surgery and HIPEC for peritoneal surface malignancies in low- and middle-income countries: a single-center experience of 232 cases.

World J Surg Oncol 2021 Jun 5;19(1):164. Epub 2021 Jun 5.

Department of Pathology, AIIMS, New Delhi, India.

Background: Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) has recently emerged as a viable management option for peritoneal surface malignancy (PSM). CRS and HIPEC is a complex, multidisciplinary and resource-intensive surgical procedure. It has a steep learning curve and is associated with significant morbidity and mortality. Read More

View Article and Full-Text PDF

Indications and outcomes of enterovesical and colovesical fistulas: systematic review of the literature and meta-analysis of prevalence.

BMC Surg 2021 May 27;21(1):265. Epub 2021 May 27.

General Surgery Unit, ASST Brianza, Vimercate Hospital, Via Santi Cosma e Damiano, 10, 20871, Vimercate, Italy.

Background: Entero-colovesical fistula is a rare complication of various benign and malignant diseases. The diagnosis is prominently based on clinical symptoms; imaging studies are necessary not only to confirm the presence of the fistula, but more importantly to demonstrate the extent and the nature of the fistula. There is still a lack of consensus regarding the if, when and how to repair the fistula. Read More

View Article and Full-Text PDF

[Analysis of perioperative complications and influencing factors of complications in 1 000 cases of robotic gynecological surgery].

Zhonghua Fu Chan Ke Za Zhi 2021 May;56(5):341-348

Department of Gynecology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.

To investigate the occurrence and influencing factors of perioperative complications after robotic gynecologic surgery. The clinical data and occurrence of perioperative complications in 1 000 cases robotic surgery completed in the First Affiliated Hospital of Zhengzhou University were retrospectively analyzed. (1) Clinical data: the average age of the patients was (50. Read More

View Article and Full-Text PDF

Clinical application of "Double R" anastomosis technique in laparoscopic pancreaticoduodenectomy procedure.

Medicine (Baltimore) 2021 May;100(21):e26204

Department of Hepatobiliary Surgery, The First Affiliated Hospital of Chongqing Medical University.

Abstract: Laparoscopic pancreaticoduodenectomy (LPD) is widely used as a treatment for periampullary tumors and pancreatic head tumors. However, postoperative pancreatic fistula (POPF), which significantly affects mortality and length of hospital stay of patients, remains one of the most common and serious complications following LPD. Though numerous technical modifications for pancreaticojejunostomy (PJ) have been proposed, POPF is still the "Achilles heel" of LPD. Read More

View Article and Full-Text PDF

Clinical experience with near-infrared ray catheter, a fluorescent ureteral catheter, on laparoscopic surgery for colon diverticulitis: A case report.

Medicine (Baltimore) 2021 May;100(21):e26085

Department of General and Gastroenterological Surgery.

Rationale: As the world's population ages, the number of surgical cases of colovesical fistulas secondary to colon diverticulitis is also expected to increase. The key issue while performing laparoscopic surgery for these fistulas is the avoidance of iatrogenic ureteral injury. There are no reports of Near-infrared Ray Catheter being used in surgery for diverticulitis, which is one of the diseases with the highest risk of ureteral injury. Read More

View Article and Full-Text PDF

Novel Coronavirus Infection in an Infant with Intussusception.

Glob Pediatr Health 2021 8;8:2333794X211012978. Epub 2021 May 8.

Hospital Universitario del Valle-Evaristo García, Cali, Colombia.

. Intussusception is the leading cause of intestinal obstruction in children under 4 years of age. Viral infections are the associated etiology in most cases, SARS-CoV-2 thereby being a plausible cause, although only 5 cases have been reported worldwide with both entities. Read More

View Article and Full-Text PDF

Colorectal cancer in pregnancy: a case report and literature review.

J Gastrointest Oncol 2021 Apr;12(2):885-891

Department of Gynecology and Obstetrics, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

Colorectal cancer (CRC) in pregnancy is rare. The clinical manifestations of CRC during pregnancy are not specific, and diagnosis and treatment pose a significant challenge. Patients are often found to have advanced tumors, and have a poor prognosis. Read More

View Article and Full-Text PDF

[Features and choice of surgical strategy in patients with gastrointestinal fistulas].

Khirurgiia (Mosk) 2021 (5):58-62

Samara State Medical University, Samara, Russia.

Objective: To evaluate the features and choice of surgical strategy in patients with gastrointestinal fistula based on classification of their types.

Material And Methods: There were 398 patients with gastrointestinal fistula. Fistula type 1 was found in 126 (31. Read More

View Article and Full-Text PDF

Anastomotic fistula after emergency enterectomy for retrograde intussusception after gastric bypass.

BMJ Case Rep 2021 May 11;14(5). Epub 2021 May 11.

Department of General Surgery, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal.

Retrograde intussusception is a rare complication of gastric bypass. It is commonly located in the common limb close to the jejunojejunostomy. The management of such condition dictates the outcome of the patient either in the immediate emergency setting or in the long-term bariatric surgery's expected results. Read More

View Article and Full-Text PDF

Managing esophagocutaneous fistula after secondary gastric pull-up: A case report.

World J Gastroenterol 2021 Apr;27(16):1841-1846

Department of General, Visceral, Transplantation, Vascular and Pediatric Surgery, University Hospital Würzburg, Würzburg 97080, Germany.

Background: Gastric pull-up (GPU) procedures may be complicated by leaks, fistulas, or stenoses. These complications are usually managed by endoscopy, but in extreme cases multidisciplinary management including reoperation may be necessary. Here, we report a combined endoscopic and surgical approach to manage a failed secondary GPU procedure. Read More

View Article and Full-Text PDF

Systemic lupus erythematosus complicated by Crohn's disease with rectovaginal fistula.

BMC Gastroenterol 2021 May 8;21(1):206. Epub 2021 May 8.

Department of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan, Taiwan.

Background: Systemic lupus erythematosus (SLE) is a multisystemic autoimmune disease, and few cases combine with Crohn's disease. We present the first SLE patient concurrent with Crohn's disease and rectovaginal fistula. She was successfully treated with vedolizumab and surgical intervention. Read More

View Article and Full-Text PDF

Factors determining the quality of life in patients undergoing radical surgery due to malignant tumors of the rectum.

Pol Przegl Chir 2021 Mar;93(3):1-5

Klinika Chirurgii Ogólnej i Onkologicznej Pomorskiego Uniwersytetu Medycznego, Szczecin, Polska.

Introduction: Rectal cancer is one of the most common malignancies in developed countries. However, despite the increasingly better preoperative diagnostics, adaptation of surgical techniques to the location and advancement of the tumor, the combination of surgical treatment with neoadjuvant therapy and adjuvant treatment, standardized control tests, Poland still has not obtained satisfactory results regarding long-term survival. In addition, the effects of the therapy often differ significantly from those expected by patients and the doctors treating them. Read More

View Article and Full-Text PDF

Embolization of extrahepatic biliary leakage using NBCA.

Radiol Case Rep 2021 Jun 1;16(6):1315-1319. Epub 2021 Apr 1.

Department of Biomedical Sciences and Morphologic and Functional Imaging, Policlinico "G. Martino'', University of Messina, Via Consolare Valeria 1, 98100 Messina, Italy.

Biliary fistula and bile leakage are complications that can occur during hepato-biliary or intestinal surgery and percutaneous biliary intervention. In some cases, spontaneous resolution is possible but more often re-intervention (surgical or percutaneous) is necessary. We present the case of a 45 y-o male patient who underwent duodenocefalopanreasectomy (Whipple procedure) with bilio-digestive anastomosis for adenoma of the duodenal papilla of Vater, complicated by the formation of a fistula through the bilio-digestive anastomosis. Read More

View Article and Full-Text PDF

Management of cryptoglandular fistula-in-ano among gastrointestinal surgeons in the Netherlands.

Tech Coloproctol 2021 06 15;25(6):709-719. Epub 2021 Apr 15.

Department of Surgery, Proctos Kliniek, Bilthoven, The Netherlands.

Background: Management of cryptoglandular fistula-in-ano (FIA) can be challenging. Despite Dutch and international guidelines determining optimal therapy is still quite difficult. The aim of this study was to report current practices in the management of cryptoglandular FIA among gastrointestinal surgeons in the Netherlands. Read More

View Article and Full-Text PDF

Re: Irreducible inguinal hernia and acute appendicitis: a case of Amyand's hernia.

ANZ J Surg 2021 04;91(4):762

Garg Fistula Research Institute, Department of Colorectal Surgery, Panchkula, India.

View Article and Full-Text PDF

Combined approach with negative pressure wound therapy and biological mesh for treatment of enterocutaneous fistula after synthetic mesh repair of incisional hernia. A case report.

Ann Ital Chir 2021 Apr 12;10. Epub 2021 Apr 12.

Aim: Enterocutaneous fistula is a rare but severe complication of prosthetic incisional hernia repair. Management requires re-exploration with intestinal repair/resection and mesh removal. Repair of the parietal defect in this contaminated field is challenging. Read More

View Article and Full-Text PDF

What are the predictors for recurrence of Crohn's disease after surgery?

Medicine (Baltimore) 2021 Apr;100(14):e25340

Gastrointestinal Surgery Unit, Department of General Surgery, Istanbul Faculty of Medicine, Istanbul University.

Abstract: Surgical resection is an unavoidable part of the current treatment options for Crohn's disease (CD), and more than half of patients develop recurrence. The aim of this study was to investigate the predictors for recurrence in the long-term follow-up of CD patients after surgery.Medical records of consecutive CD patients who were operated on between January 2003 and January 2015 were retrospectively analyzed. Read More

View Article and Full-Text PDF

Enterocutaneous fistula secondary to retained intraperitoneal fragment of a ventriculoperitoneal shunt in a 48-year-old man with spina bifida.

BMJ Case Rep 2021 Apr 1;14(4). Epub 2021 Apr 1.

General Surgery, Royal Surrey County Hospital NHS Foundation Trust, Guildford, UK.

We report the case of a 48-year-old man with spina bifida and history of previous ventriculoperitoneal (VP) shunt placement for hydrocephalus. On attempted removal of the shunt 2 years prior to presentation at a neurosurgical unit, the peritoneal component was left in situ due to difficulties with removal. He presented acutely to our general surgical department with an enterocutaneous fistula precipitated by the retained fragment discharging to the right upper abdominal quadrant that required urgent surgical intervention. Read More

View Article and Full-Text PDF

Midthoracic Pain, Sentinel Arterial Haemorrhage and Exsanguination after a Symptom-Free Interval (Chiari's Triad) is Diagnostic of Arterio-Oesophageal Fistula: A Life-Threatening Cause of Gastrointestinal Bleeding.

Eur J Case Rep Intern Med 2021 23;8(3):002134. Epub 2021 Feb 23.

Department of Internal Medicine, Clinic Barmelweid, Barmelweid, Switzerland.

Introduction: Arterio-oesophageal fistulae are a very uncommon cause of severe gastrointestinal bleeding, and mostly result from an aberrant right subclavian artery and mediastinal surgery or prolonged endotracheal/nasogastric intubation.

Material And Methods: We present the case of a patient with an oesophageal adenocarcinoma and haematemesis due to a subclavian arterio-oesophageal fistula after mediastinal radiotherapy.

Conclusion: We discuss the rare, life-threatening condition of acute erosion of the left subclavian artery caused by an oesophageal tumour and presenting with Chiari's triad. Read More

View Article and Full-Text PDF
February 2021

Complications and Patient-reported Outcomes in Transfemale Vaginoplasty: An Updated Systematic Review and Meta-analysis.

Plast Reconstr Surg Glob Open 2021 Mar 19;9(3):e3510. Epub 2021 Mar 19.

Division of Plastic and Reconstructive Surgery, University of Rochester Medical Center, Strong Memorial Hospital, Rochester, N.Y.

Vaginoplasty aims to create a functional feminine vagina, sensate clitoris, and labia minora and majora with acceptable cosmesis. The upward trend in the number of transfemale vaginoplasties has impacted the number of published articles on this topic. Herein, we conducted an updated systematic review on complications and patient-reported outcomes. Read More

View Article and Full-Text PDF

[Conservative treatment of patients with small bowel fistula].

Khirurgiia (Mosk) 2021 (4):78-84

Sklifosovsky Research Institute of Emergency Care, Moscow, Russia.

Objective: To describe conservative treatment of patients with small bowel fistula.

Material And Methods: We report 3 patients with small bowel fistula.

Conclusion: A personalized approach in patients with small bowel fistula and a modified treatment technique were effective for conservative treatment. Read More

View Article and Full-Text PDF

[Long-term results of surgical correction of H-type fistula in girls with a normal anus].

Khirurgiia (Mosk) 2021 (4):39-45

Pirogov Russian National Research Medical University, Moscow, Russia.

Objective: To evaluate the long-term results of surgical correction of H-type fistula in girls with a normal anus.

Material And Methods: There were 7 patients with rectovestibular fistula and 3 patients with rectovaginal fistula with a normal anus were observed from 2014 to 2019 in the Surgical Department No. 1 of the Russian Children's Clinical Hospital. Read More

View Article and Full-Text PDF

Update on the management of sigmoid diverticulitis.

World J Gastroenterol 2021 Mar;27(9):760-781

Division of Colorectal Surgery, Department of Surgery, City of Hope National Medical Center, Duarte, CA 91010-3000, United States.

Diverticular disease and diverticulitis are the most common non-cancerous pathology of the colon. It has traditionally been considered a disease of the elderly and associated with cultural and dietary habits. There has been a growing evolution in our understanding and the treatment guidelines for this disease. Read More

View Article and Full-Text PDF

Review article: investigation and management of internal fistulae in Crohn's disease.

Aliment Pharmacol Ther 2021 05 15;53(10):1064-1079. Epub 2021 Mar 15.

Department of Gastroenterology and Hepatology, The Royal Melbourne Hospital, Parkville, Vic., Australia.

Background: Crohn's disease is an inflammatory, penetrating intestinal disease associated with fistula formation. Fistulae in Crohn's disease can be classified into external and internal fistulae. Internal fistulae form between the gastrointestinal tract and another internal organ and include enteroenteric, enterocolic, enterovesical and rectovaginal fistulae. Read More

View Article and Full-Text PDF

Endoscopic negative pressure therapy (ENPT) in head and neck surgery: first experiences in treatment of postoperative salivary fistulas and cervical esophageal perforations.

Eur Arch Otorhinolaryngol 2021 Mar 14. Epub 2021 Mar 14.

Department of General, Visceral, Thoracic and Vascular Surgery, Katholisches Marienkrankenhaus gGmbH, Hamburg, Germany.

Introduction: Iatrogenic cervical esophageal perforations (CEP) and postoperative salivary fistulas (PSF) are some of the complications requiring treatment in head and neck surgery. Conservative, surgical and endoscopic therapeutic techniques are used. Both CEP and PSF are potentially life-threatening complications and require intensive treatment. Read More

View Article and Full-Text PDF

Fistulae involving the appendix: a systematic review of the literature.

ANZ J Surg 2020 10;90(10):1878-1887

Concord Clinical School, The University of Sydney, Sydney, New South Wales, Australia.

Background: The appendix has a unique place in surgical history. Although the first ever appendicectomy involved a fistula to the skin, fistulae involving the appendix remain uncommon and can lead to unique surgical considerations.

Methods: A systematic review of the literature was performed for case reports of appendiceal fistulae. Read More

View Article and Full-Text PDF
October 2020

Sleeve to Colon Fistula: Laparoscopic Conversion to Roux-en-Y Gastric Bypass.

Obes Surg 2021 06 5;31(6):2837-2838. Epub 2021 Mar 5.

Department of Surgery, Mayo Clinic, Rochester, MN, USA.

View Article and Full-Text PDF

Candidacy of adult patients with short bowel syndrome for treatment with glucagon-like peptide-2 analogues: A systematic analysis of a single centre cohort.

Clin Nutr 2021 Feb 13. Epub 2021 Feb 13.

Centre for Chronic Intestinal Failure - Clinical Nutrition and Metabolism Unit - IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

Background And Aims: The glucagon-like peptide-2 (GLP-2) analogue, teduglutide, allows to reduce the intravenous supplementation (IVS) dependency of patients with short bowel syndrome and intestinal failure (SBS-IF). The rate of candidacy of SBS-IF patients for the treatment is unknown. The candidacy for teduglutide treatment of our patient cohort was investigated by a systematic analysis. Read More

View Article and Full-Text PDF
February 2021

[Successful Experience of Negative Pressure Wound Therapy with Instillation and Dwelling(NPW Ti-d)for Patient with Wound Dehiscence Developed by Infection after Right-Hemicolectomy for Ascending Colon Cancer].

Gan To Kagaku Ryoho 2021 Feb;48(2):276-278

Dept. of Surgery, Yamamoto Daisan Hospital.

We report a case of infected and incised wound cured by negative pressure wound therapy with instillation and dwelling (NPWTi-d)after right hemicolectomy for ascending colon cancer. The patient was a 72-year-old male. An ascending colon cancer with abdominal wall invasion and enterocutaneous fistula was found. Read More

View Article and Full-Text PDF
February 2021