9,618 results match your criteria Intestinal Fistulas Surgical Treatment


Percutaneous Image-Guided Surgery in Complications After Bariatric Surgery.

J Laparoendosc Adv Surg Tech A 2020 Jun 29. Epub 2020 Jun 29.

DAICIM Foundation, Buenos Aires, Argentina.

Although bariatric surgery is a standardized procedure, it is not without complications. Image-guided surgery allows minimally invasive resolution of complications, making it ideal for bariatric patients. The objective of this work was to analyze the image-guided surgery approach to postoperative complications of bariatric surgery. Read More

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http://dx.doi.org/10.1089/lap.2020.0410DOI Listing

[Intestinal manifestations of Behçet's disease].

Ter Arkh 2019 May 15;91(5):111-119. Epub 2019 May 15.

A.N. Ryzhikh State Scientific Centre of Coloproctology.

Behçet's disease (BD) is a systemic vasculitis of unknown origin, characterized by recurrences of the ulcerative process in the oral cavity and on the genitals, inflammatory damage of the eyes, joints, vessels and other organs. The severity and prognosis of BD determines organ pathology. Intestinal manifestations of BD (intestinal BD) are the least studied. Read More

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http://dx.doi.org/10.26442/00403660.2019.05.000247DOI Listing

[Successful treatment of an aortoduodenal fistula after operation on the abdominal portion of the aorta].

Angiol Sosud Khir 2020 ;26(2):170-174

I.P. Pavlov Ryazan State Medical University of the Ministry of Healthcare of the Russian Federation, Ryazan, Russia; Regional Clinical Hospital, Ryazan, Russia.

Gastrointestinal haemorrhage is a common cause of emergency admission of patients to surgical hospitals. Within the structure of nosological entities, not unreasonably referred to the rarest causes of gastrointestinal bleeding is the formation of an aortointestinal fistula whose early diagnosis is of paramount importance. The clinical picture may be different but it is mostly represented by gastrointestinal haemorrhage. Read More

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http://dx.doi.org/10.33529/ANGIO2020213DOI Listing
January 2020

[Stage-by-stage treatment of vesicovaginal fistula followed by orthotopic plastic surgery of the bladder and vagina with a small intestine].

Khirurgiia (Mosk) 2020 (6):121-124

Petrovsky Russian Research Center of Surgery, Moscow, Russia.

High incidence of iatrogenic lesions of genitourinary system (during gynecological and oncogynecological operations) followed by urogenital fistulae and great percentage of recurrences after reconstructive surgery justify the need to improve surgical reconstruction of genitourinary organs and urine discharge in these patients. Stage-by-stage surgical treatment of a patient with extensive vesicovaginal fistula is reported in the article. A defect was associated with loss of 2/3 of the volume of tissues of adjacent organs. Read More

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http://dx.doi.org/10.17116/hirurgia2020061121DOI Listing
January 2020

[Management of patients with enterocutaneous fistulae].

Khirurgiia (Mosk) 2020 (6):98-103

Vishnevsky National Medical Research Center for Surgery of the Ministry of Health of Russia, Moscow, Russia.

Enterocutaneous fistula (ECF) is the most serious postoperative life-threating complication of various abdominal surgical interventions. Treatment of patients with ECF is associated with life-threatening complications including sepsis and septic shock, intestinal failure and severe water-electrolyte disorders that causes high mortality rates (35-75% according to national authors and 6-33% according to foreign colleagues). This issue is especially relevant in the cases of enteroatmospheric fistulae and high ECF with loss of intestinal contents of more than 500 ml per day. Read More

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http://dx.doi.org/10.17116/hirurgia202006198DOI Listing
January 2020

Laparoscopic stricturoplasty as a treatment of stenosing Crohn's disease - a video vignette.

Colorectal Dis 2020 Jun 21. Epub 2020 Jun 21.

Cirugia Colorrectal, Servicio de Cirugia General y Aparato Digestivo, Hospital Universitario Marques de Valdecilla, Santander, Spain.

Most patients with Crohn's Disease (CD) require emergency or elective surgical interventions sometime during their life. The main indications include failure of medical treatment or the development of complications, such as stenosis, inflammatory mass, perforation and fistulas. The laparoscopic approach is the technique of choice. Read More

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http://dx.doi.org/10.1111/codi.15201DOI Listing

Comparison between surgical techniques in gallstone ileus and outcomes.

Cir Cir 2020 ;88(3):292-296

Departamento de Cirugía General, Centro Médico Instituto de Seguridad Social del Estado de México (ISSEMyM), Ecatepec, Estado de México, México.

Introduction: Gallstone ileus is a rare cause of mechanical bowel obstruction, generally found in elderly patients who often have other significant medical conditions.

Objective: The objective of the study was to determine the prevalence of gallstone ileus and the number of postsurgical complications and outcomes depending on what type of surgical management is performed.

Method: Cohort, retrospective, observational, and comparative study was conducted, which included 31 patients undergoing surgery for gallstone ileus. Read More

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http://dx.doi.org/10.24875/CIRU.19001264DOI Listing
January 2020

Secondary aorto-duodenal fistula successfully treated with a novel surgical method: A case report.

Int J Surg Case Rep 2020 May 29;72:17-21. Epub 2020 May 29.

Department of Endovascular treatment, Tokushima Red Cross Hospital, Japan.

Introduction: Secondary aorto-duodenal fistula (sADF) is a complication of abdominal aorta artificial blood vessel replacement that often leads to death. However, an optimal operative method has not yet been established. We describe a patient who underwent artificial blood vessel reimplantation and duodenectomy after endovascular aneurysmal repair (EVAR) with positive outcomes. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.05.041DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276383PMC

Enteral versus parenteral nutrition in the conservative treatment of upper gastrointestinal fistula after surgery: a multicenter, randomized, parallel-group, open-label, phase III study (NUTRILEAK study).

Trials 2020 Jun 2;21(1):448. Epub 2020 Jun 2.

Department of Digestive and Oncological Surgery, Lille University Hospital, Lille, France.

Background: Postoperative upper gastrointestinal fistula (PUGIF) is a devastating complication, leading to high mortality (reaching up to 80%), increased length of hospital stay, reduced health-related quality of life and increased health costs. Nutritional support is a key component of therapy in such cases, which is related to the high prevalence of malnutrition. In the prophylactic setting, enteral nutrition (EN) is associated with a shorter hospital stay, a lower incidence of severe infectious complications, lower severity of complications and decreased cost compared to total parenteral nutrition (TPN) following major upper gastrointestinal (GI) surgery. Read More

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http://dx.doi.org/10.1186/s13063-020-04366-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265255PMC

Cecal Perforation by a Large Gallstone: An Unusual Diagnosis.

Cureus 2020 Apr 27;12(4):e7859. Epub 2020 Apr 27.

General Surgery, Hospital do Litoral Alentejano, Santiago do Cacém, PRT.

Cholecystocolic fistulas are uncommon, with rare cases of colonic obstruction described in the literature and even rarer cases of intestinal perforation due to gallstones. We describe a case of a 73-year-old man who presented to our ED with complaints of diffuse abdominal pain, vomiting, constipation, and fever for the past week. Abdomen CT showed signs of acute perforated appendicitis. Read More

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http://dx.doi.org/10.7759/cureus.7859DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7255080PMC

Chyme Reinfusion in Intestinal Failure Related to Temporary Double Enterostomies and Enteroatmospheric Fistulas.

Nutrients 2020 May 11;12(5). Epub 2020 May 11.

Réadaptation Digestive et Nutritionnelle, Clinique Saint Yves 4 rue Adolphe Leray CS54435, 35044 RENNES Cedex, France.

Some temporary double enterostomies (DES) or entero-atmospheric fistulas (EAF) have high output and are responsible for Type 2 intestinal failure. Intravenous supplementations (IVS) for parenteral nutrition and hydration compensate for intestinal losses. Chyme reinfusion (CR) artificially restores continuity pending surgical closure. Read More

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http://dx.doi.org/10.3390/nu12051376DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285017PMC

Early Active Irrigation-Suction Drainage among Enterocutaneous Fistulas Patients with Chronic Critical Illness: A Retrospective Cohort Study.

Am Surg 2020 Apr;86(4):346-353

From the *Department of Surgery, Jinling Hospital, Nanjing Medical University, Nanjing, P R China and.

Enterocutaneous fistulas (ECFs) requiring admission to ICU is a serious surgical complication. A growing number of patients survive ECFs but remain chronically critically ill. The aim of our study was to investigate the risk factors of hospital death in patients with chronic critical illness attributed to ECFs. Read More

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Porcine Small Intestinal Submucosa Mesh to Treat Inguinal Hernia in Young Adults Using Laparoscopic Inguinal Hernia Repair: A Retrospective Controlled Study.

Surg Laparosc Endosc Percutan Tech 2020 May 1. Epub 2020 May 1.

Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical University.

Background: The authors evaluated the effects and clinical value of small intestinal submucosa (SIS) mesh to treat inguinal hernia in young adults by the laparoscopic method.

Methods: The clinical data of 357 cases with inguinal hernia using SIS mesh in our hospital were analyzed retrospectively from June 2014 to June 2018. All cases were divided into 2 groups according to the surgical method. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000806DOI Listing

Management of entero-atmospheric fistulas by chyme reinfusion: A retrospective study.

Clin Nutr 2020 Apr 2. Epub 2020 Apr 2.

Nutritional and Digestive Rehabilitation Unit, Clinique Saint-Yves, Rennes, France.

Background & Aims: High output entero-cutaneous fistulas may lead to intestinal failure with parenteral nutrition (PN) as the gold standard treatment to prevent dehydration and malnutrition. However in case of entero-atmospheric fistula (EAF) with the distal limb of the fistula accessible, chyme reinfusion (CR), a technique that restores artificially digestive continuity can be performed until the surgical repair. Our aim was to study the efficacy of CR in EAF regarding nutritional status, intestinal function, PN weaning and liver tests. Read More

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http://dx.doi.org/10.1016/j.clnu.2020.03.030DOI Listing

Open abdomen treatment for complicated intra-abdominal infection patients with gastrointestinal fistula can reduce the mortality.

Medicine (Baltimore) 2020 Apr;99(16):e19692

State Key Laboratory of Cancer Biology, National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive Diseases, Xijing Hospital, Fourth Military Medical University.

To evaluate the effect of the open abdomen (OA) and closed abdomen (CA) approaches for treating intestinal fistula with complicated intra-abdominal infection (IFWCIAI), and analyze the risk factors in OA treatment.IFWCIAI is associated with high mortality rates and healthcare costs, as well as longer postoperative hospital stay. However, OA treatment has also been linked with increased mortality and development of secondary intestinal fistula. Read More

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http://dx.doi.org/10.1097/MD.0000000000019692DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220662PMC

Surgical management of acquired rectourethral fistula: a retrospective analysis of 52 consecutive patients.

Tech Coloproctol 2020 Apr 16. Epub 2020 Apr 16.

Department of Urology, University Hospitals Leuven, KU Leuven, Leuven, Belgium.

Background: Acquired rectourethral fistula (RUF) is an uncommon complication mostly resulting from surgery or radiation. Standardization of the surgical management is lacking. The aim of this study was to report our experience with surgery for RUF. Read More

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http://dx.doi.org/10.1007/s10151-020-02214-9DOI Listing

Aortoduodenal Fistula After Endovascular Abdominal Aortic Aneurysm Repair.

Vasc Endovascular Surg 2020 Jul 15;54(5):445-448. Epub 2020 Apr 15.

Department of Cardiovascular Surgery, Morinomiya Hospital, Joto-ku, Osaka, Japan.

Aortoduodenal fistula after endovascular treatment of abdominal aortic aneurysm is a very rare but life-threatening complication. Herein, we describe 4 cases of aortoduodenal fistula diagnosed at 15 to 78 months after the index aortic intervention, all successfully treated by surgery. All patients underwent primary repair of the duodenal wall, creation of tube duodenostomy, stent graft removal, and in situ reconstruction using a rifampicin-soaked prosthesis. Read More

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http://dx.doi.org/10.1177/1538574420918969DOI Listing

[Submucosal laser ablation of internal hemorrhoids].

Khirurgiia (Mosk) 2020 (3):89-96

A.N. Ryzhikh State Scientific Center of Coloproctology of the Ministry of Health of Russia, Moscow, Russia.

Objective: To analyze efficacy and safety of submucosal laser ablation of internal hemorrhoids (SLT).

Material And Methods: Systematic review included 10 articles published in electronic databases PubMed, Cochrane Library, Elibrary until January 2019. There were only full-text publications from prospective clinical trials devoted to submucosal laser ablation in the treatment of hemorrhoids. Read More

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http://dx.doi.org/10.17116/hirurgia202003189DOI Listing

New Compressible Barrier Devices for Enteric Fistula and Ostomy Effluent Isolation.

Surg Technol Int 2020 May;36:77-81

Department of General Surgery, Regions Hospital, St. Paul, Minnesota, John F. Perry, Jr. Chair of Trauma Surgery, University of Minnesota, Minneapolis, Minnesota.

Enteric fistulas are among the most dreaded surgical complications. Controlling fistula effluent and protecting the surrounding tissue is a difficult long-term endeavor that can consume significant clinical resources. This article describes novel, one-piece compressible isolation devices that can be used to manage the body surface around an enteric fistula, stoma, or drain tube to seal and protect the patient from effluent. Read More

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Acute histologic inflammatory activity and postoperative outcomes in pediatric patients with ulcerative colitis.

Am J Surg 2020 04 11;219(4):592-597. Epub 2020 Mar 11.

Nationwide Children's Hospital, Division of Pediatric Surgery, 700 Children's Dr., Columbus, OH, 43205, USA; The Ohio State University College of Medicine, Department of Surgery, 395 W. 12th Ave, Columbus, OH, 43210, USA. Electronic address:

Background: The aim of this study was to determine whether acute histologic inflammatory activity at the rectal margin predicts postoperative complications in children with ulcerative colitis following ileal pouch-anal anastomoses (IPAA).

Methods: Patients who underwent IPAA following previous total abdominal colectomy for ulcerative colitis between 2006 and 2014 were included. Data collected included demographics, operative and postoperative data, histologic grading of the rectal margin at time of IPAA, and stooling outcomes at one, six and 12 months following ileostomy closure. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.02.054DOI Listing

Improved simple T-cannula technique to facilitate surgery and daily skin care of growing pigs.

J Anim Sci 2020 Apr;98(4)

Institute of Animal Science, University of Hohenheim, Stuttgart, Germany.

In order to further increase the stability of the cannula behind the ribs and to facilitate cannula exteriorization in growing pigs, the present study aimed to evaluate whether elongation of the cannula flange could increase the stability of the cannula behind the ribs and to develop a tool to improve the exteriorization of the cannula through the ribs. Moreover, it was assessed whether a special skin protection paste and soft polyurethane foam material used in daily skin care could prevent erythema around the fistula. The feasibility of both, the modified simple T-cannula and daily skin care procedure, was evaluated in a digestibility experiment. Read More

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http://dx.doi.org/10.1093/jas/skaa091DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7135948PMC

Gallstone Ileus: An Unusual Cause of Intestinal Obstruction.

Cureus 2020 Mar 15;12(3):e7284. Epub 2020 Mar 15.

Surgery, The Wollongong Hospital, Wollongong, AUS.

Gallstone ileus is an uncommon complication of gallstones and a rare cause of intestinal obstruction. Typically as a result of the formation of cholecystoduodenal fistula, surgical removal of the gallstone is the mainstay of treatment in order to relieve the intestinal obstruction. A 34-year-old male with no history of cholelithiasis presented with features of a small bowel obstruction. Read More

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http://dx.doi.org/10.7759/cureus.7284DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7077742PMC

Colopericardial fistula presenting with massive rectal bleeding.

J Radiol Case Rep 2019 Nov 30;13(11):18-23. Epub 2019 Nov 30.

Department of Radiology, San Vicente Fundación University Hospital, Medellin, Colombia.

Colopericardial fistulae constitute a condition with a very low prevalence and a high morbidity and mortality rate. In this case report, we discuss an 80-year-old male patient who presented to emergency services for massive rectal bleeding and signs of hypovolemic shock. Abdominal arteriography and upper gastrointestinal endoscopy were negative for bleeding. Read More

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http://dx.doi.org/10.3941/jrcr.v13i11.3722DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7060002PMC
November 2019

Clinical characteristics and postoperative outcomes of patients presenting with upper gastrointestinal tract Crohn.

Ann Coloproctol 2020 Mar 16. Epub 2020 Mar 16.

Department of Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

Purpose: Upper gastrointestinal (GI) tract involvement in Crohn's disease (CD) is rare and effectiveness of surgical treatment is limited. The aim of this study was to evaluate characteristics and surgical outcomes of upper GI CD.

Methods: Medical records of 811 patients who underwent intestinal surgery for CD between January 2006 and December 2015 at a single institution were reviewed. Read More

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http://dx.doi.org/10.3393/ac.2019.10.16.1DOI Listing

Accurate diagnosis and repair of obstetric anal sphincter injuries: why and how.

Am J Obstet Gynecol 2020 06 3;222(6):580.e1-580.e5. Epub 2020 Mar 3.

Urogynecology and Reconstructive Pelvic Surgery, OB/Gyn & Women's Health Institute, Cleveland Clinic, Cleveland, OH.

Obstetric anal sphincter injuries represent the minority of obstetric lacerations, but can have a significant long-term impact on urinary and fecal continence, as well as pelvic organ support. Accurate diagnosis of lacerations, appropriate repair, and close follow-up are essential to healthy healing and to improve outcomes for women. The infrequency of these injuries has resulted in a lack of familiarity with laceration repair and postpartum care of this population at all levels of practice. Read More

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http://dx.doi.org/10.1016/j.ajog.2020.02.044DOI Listing

[Gallstone ileus as a cause of abdominal pain in the elderly patient].

Rev Esp Geriatr Gerontol 2020 May - Jun;55(3):169-172. Epub 2020 Feb 5.

Servicio de Medicina Interna, Hospital Nuestra Señora del Prado, Talavera de la Reina, Toledo, España.

Gallstone ileus is a rare and potentially serious complication of cholelithiasis. It is defined as a mechanical intestinal obstruction secondary to the presence of a gallstone in the intestinal luz. The most frequent cause is impaction of the calculus in the ileum after passing through a bilioenteric fístula. Read More

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http://dx.doi.org/10.1016/j.regg.2019.08.002DOI Listing
February 2020

[Endoscopic treatment of benign gastrointestinal fistulas].

Khirurgiia (Mosk) 2020 (1):46-52

Sklifosovsky Clinical and Research Institute for Emergency Care, Moscow, Russia.

Objective: To evaluate the possibility and safety of modified endoscopic stent in the treatment of benign intestinal fistulas.

Material And Methods: Analysis of the experience of Sklifosovsky Research Institute for Emergency Care and recent numerous foreign reports confirms that staged treatment followed by delayed radical surgery is the most perspective approach. Modified endoscopic treatment of intestinal fistulas successfully used in 10 patients is reported in the article. Read More

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http://dx.doi.org/10.17116/hirurgia202001146DOI Listing
February 2020

Successful surgical management of mesenteric inflammatory veno-occlusive disease.

Surg Case Rep 2020 Jan 21;6(1):27. Epub 2020 Jan 21.

Department of Pathology, Teikyo University School of Medicine, Tokyo, Japan.

Background: The term "mesenteric inflammatory veno-occlusive disease (MIVOD)" is used to describe an ischemic injury resulting from phlebitis or venulitis that affects the bowel or mesentery in the absence of arteritis. MIVOD is difficult to diagnose because of its rarity and frequent confusion with other diseases. The incidence and etiology of MIVOD remain unclear; only a few cases have been reported. Read More

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http://dx.doi.org/10.1186/s40792-020-0796-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6973805PMC
January 2020

[Long-term efficacy of bioprosthetic anal fistula plug in the treatment of transsphincteric anal fistula].

Zhonghua Wei Chang Wai Ke Za Zhi 2020 Jan;23(1):71-75

Department of General Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100020, China.

To evaluate the long-term healing rate of transsphincteric anal fistula treated with anal fistula plug procedure and the risk factors affecting the healing of anal fistula. A retrospective case-control study was conducted to analyze the clinical data of 207 patients with transsphincteric anal fistulas who received anal fistula plug procedure at the Department of General Surgery, Beijing Chaoyang Hospital of Capital Medical University from August 2008 to September 2012. Inclusion criteria: (1) consistent with the diagnosis of transsphincteric anal fistula: the anal fistula passed through the internal and external sphincter; (2) complete data; (3) initial treatment with anal fistula plug procedure. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1671-0274.2020.01.012DOI Listing
January 2020

Role of computed tomography in prediction of gastrointestinal fistula in patients with acute pancreatitis.

Acta Gastroenterol Belg 2019 Oct-Dec;82(4):495-500

Department of Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.

Aim: To identify computed tomography (CT) features that predict gastrointestinal fistula (GIF) in patients with acute pancreatitis (AP).

Methods: This retrospective study comprised consecutive patients with AP and GIF from June 2017 to June 2018. The diagnosis of GIF was based on upper gastrointestinal endoscopy, colonoscopy or surgery. Read More

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February 2020

Cholecystoenteric fistula with and without gallstone ileus: A case series.

Hepatobiliary Pancreat Dis Int 2020 Feb 27;19(1):36-40. Epub 2019 Dec 27.

Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Dr. Ignacio Morones Prieto O 3000, Monterrey 64710, México; Department of Surgery, Hospital Metropolitano "Dr. Bernardo Sepúlveda", Secretaria de Salud de Nuevo León, Adolfo López Mateos No. 4600, San Nicolás de los Garza 66400, México.

Background: A cholecystoenteric fistula (CEF) is an uncommon complication of gallstone disease. The aim of this study was to present our experience of a series of patients with CEF, presenting with or without gallstone ileus, along with their surgical outcomes.

Methods: From 2015 to 2018, 3245 consecutive patients underwent cholecystectomy for gallbladder disease at our institution, of which 15 were diagnosed with a CEF. Read More

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http://dx.doi.org/10.1016/j.hbpd.2019.12.004DOI Listing
February 2020

Restoration of intestinal continuity after stoma formation for Crohn's disease in the era of biological therapy : A retrospective cohort study.

Wien Klin Wochenschr 2020 Jan 8;132(1-2):12-18. Epub 2020 Jan 8.

Division of General Surgery, Department of Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.

Background: The rate of restoration of intestinal continuity after colonic resection and stoma creation in patients with Crohn's disease has not been well-documented in the era of biologics. Thus, the incidence of restoration of intestinal continuity since the introduction of biological drugs was assessed.

Methods: Consecutive patients (n = 43) who underwent colonic resection with ileostomy or colostomy formation for Crohn's disease at a single tertiary referral center between 2002 and 2014 were identified. Read More

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http://dx.doi.org/10.1007/s00508-019-01586-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6978468PMC
January 2020

Perianal Fistulas.

Dis Colon Rectum 2020 02;63(2):129-132

Division of Colon and Rectal Surgery, Department of Surgery, New York-Presbyterian, Columbia University Medical Center, New York, New York.

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http://dx.doi.org/10.1097/DCR.0000000000001576DOI Listing
February 2020
3.749 Impact Factor

Refractory traumatic bronchopleural fistula: Is extracorporeal membrane oxygenation the new gold standard?

J Card Surg 2020 Jan 5;35(1):242-245. Epub 2019 Nov 5.

Division of Heart and Lung Transplant and Mechanical Circulatory Support, Miami, Florida.

Introduction: A refractory bronchopleural fistula leading to respiratory failure in a trauma patient is one of the most challenging pathologies to manage in one of the most challenging patient populations. Modern equipment and techniques have decreased and perhaps even eliminated the need for anticoagulation with ECMO, and it is finding an important niche in saving this patient population from refractory hypoxia. We review here our experience with three refractory traumatic bronchopleural fistulae utilizing venovenous ECMO as the primary treatment modality. Read More

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http://dx.doi.org/10.1111/jocs.14298DOI Listing
January 2020

Mesh fistula after ventral hernia repair: What is the optimal management?

Surgery 2020 03 26;167(3):590-597. Epub 2019 Dec 26.

Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC. Electronic address:

Background: A mesh-related intestinal fistula is an uncommon and challenging complication of ventral hernia repair. Optimal management is unclear owing to lack of prospective or long-term data.

Methods: We reviewed our prospective data for mesh-related intestinal fistulas from 2004 to 2017and compared suture repair versus ventral hernia repair with mesh at the time of mesh-related intestinal fistula takedown. Read More

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http://dx.doi.org/10.1016/j.surg.2019.09.020DOI Listing

[Long-term efficacy analysis of laparoscopic-assisted anorectoplasty for high and middle imperforate anus].

Zhonghua Wei Chang Wai Ke Za Zhi 2019 Dec;22(12):1177-1182

Department of Pediatric Surgery, The First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052, China.

To explore the long-term efficacy of laparoscopic-assisted anorectoplasty and conventional anorectoplasty in the treatment of children with high and middle anal atresia. A retrospective cohort study was used. Inclusion criteria: (1) children with high and middle anal atresia; (2) complicated with rectourethral or rectovesical fistula; (3) complete follow-up data. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1671-0274.2019.12.014DOI Listing
December 2019

[Procedure for prolapse and hemorrhoids versus stapled transanal rectal resection in the treatment of grade IV hemorrhoids].

Zhonghua Wei Chang Wai Ke Za Zhi 2019 Dec;22(12):1165-1169

Department of Gastrointestinal Surgery, Peking University People's Hospital, Beijing 100044, China.

To compare the efficacy and safety of two procedures in the treatment of hemorrhoid: the procedure for prolapse and hemorrhoids (PPH) and stapled transanal rectal resection (STARR). A retrospective cohort research was conducted. Clinical data of 263 patients undergoing the first elective surgery for grade IV hemorrhoids by the same team of surgeons at our department from January 2015 to December 2016 were analyzed retrospectively, while those had other anorectal diseases, emergency surgery, inflammatory bowel disease, tumor and incomplete clinical data were excluded. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1671-0274.2019.12.012DOI Listing
December 2019

TRANSPLANTATION OF ADIPOSE-DERIVED MESENCHYMAL STEM CELLS IN REFRACTORY CROHN'S DISEASE: SYSTEMATIC REVIEW.

Arq Bras Cir Dig 2019 20;32(4):e1465. Epub 2019 Dec 20.

Postgraduate Program in Health and Development in the Center-West Region, Faculty of Medicine, Campo Grande, MS, Brazil.

Background: Crohn's disease is a pathological condition that has different options of treatment, but there are patients who need other therapeutic approach, such as the use of adipose-derived mesenchymal stem cells.

Aim: Systematic literature review to determine the different ways of adipose-derived mesenchymal stem cells administration in humans with luminal refractory and perianal fistulizing Crohn's disease.

Methods: It was conducted a search for articles (from 2008 to 2018) on PubMed and ScienceDirect databases using the keywords Crohn's disease, fistulizing Crohn's disease, luminal Crohn's disease and transplantation of mesenchymal stem cells or mesenchymal stem cells or stromal cells. Read More

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http://dx.doi.org/10.1590/0102-672020190001e1465DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6918761PMC

A case report and review of the literature of Bouveret syndrome.

Ann R Coll Surg Engl 2020 Jan 20;102(1):e15-e19. Epub 2019 Dec 20.

Upper Gastrointestinal Surgery, Frimley Park Hospital, Frimley Health NHS Trust, Frimley, Camberley, UK.

Bouveret syndrome is a rare variant of gallstone ileus causing gastric outlet obstruction. It results from the formation of either a cholecystoduodenal or a cholecystogastric fistula and subsequent migration of gallstone into the duodenum or pylorus of stomach, causing obstruction. The first case was reported by Leon Bouveret in 1896. Read More

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http://dx.doi.org/10.1308/rcsann.2019.0161DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937608PMC
January 2020

Critical appraisal of the techniques of pancreatic anastomosis following pancreaticoduodenectomy: A network meta-analysis.

Int J Surg 2020 Jan 13;73:72-77. Epub 2019 Dec 13.

Department of Surgery, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand; Department of Hepatobiliary, Pancreatic and Transplant Surgery, Department of Surgery, Freeman Hospital, Newcastle Upon Tyne, Tyne and Wear, UK. Electronic address:

Background: Postoperative pancreatic fistula (POPF) remains a major cause of morbidity following pancreaticoduodenectomy (PD). This network meta-analysis (NMA) compared techniques of pancreatic anastomosis following PD to determine the technique with the best outcome profile.

Methods: A systematic literature search was performed on the Scopus, EMBASE, Medline and Cochrane databases to identify RCTs employing the international study group of pancreatic fistula (ISGPF) definition of POPF. Read More

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http://dx.doi.org/10.1016/j.ijsu.2019.12.003DOI Listing
January 2020

Bouveret syndrome: A case report.

World J Clin Cases 2019 Dec;7(23):4144-4149

Department of Gastroenterology, People's Hospital of Jianyang City, Jianyang 641400, Sichuan Province, China.

Background: Bouveret syndrome is a rare complication of cholelithiasis, with only 315 cases reported in the literature between 1967 and 2016. Delay in diagnosis is associated with a high mortality rate. Diagnosis is based upon clinical manifestations, gastroscopy, and imaging studies such as abdominal computed tomography and magnetic resonance cholan-giopancreatography. Read More

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http://dx.doi.org/10.12998/wjcc.v7.i23.4144DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6906555PMC
December 2019

[Non-surgical treatment of acute pancreatitis with colonic fistula].

Zhonghua Wai Ke Za Zhi 2019 Dec;57(12):917-920

Department of Hepatobiliary Surgery, Chinese People's Liberation Army General Hospital First Medical Center, Beijing 100853, China.

To examine the effectiveness of non-operative of colonic fistula following acute pancreatitis. Retrospective analysis of 354 patients with acute pancreatitis who were admitted to Department of Hepatobiliary Surgery of Chinese People's Liberation Army General Hospital from January 2013 to December 2018. Age of the patients was (46±14) years (range: 14-85 years); 249 cases (70. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-5815.2019.12.009DOI Listing
December 2019

Efficacy of percutaneous biliary and pancreatic duct drainage/stenting with double invaginated pancreatojejunostomy after pancreatoduodenectomy.

Ann Ital Chir 2019 ;90:467-473

Aim: To evaluate the efficacy and feasibility of preoperative percutaneous pancreatic duct drainage (PPDD) and improve the safety of pancreatojejunal anastomosis, we refer to our experience from 2013 to 2017 that include the last series of 27 cases of PD for 14 pancreatic and 13 ampullary tumors. Apart from the standard "classic" Whipple procedure in 17 cases, and the "modified"pylorus-preserving variant (ppPD) in 10 cases, in 26 cases a pancreaticojejunostomy and in 1 case a pancreatico gastrostomy was performed. In last series the percutaneous biliary drainage procedure in 18 cases and dual biliary + pancreatic duct decompression in 4 casas was performed. Read More

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Chronic mesh infection complicated by an enterocutaneous fistula successfully treated by infected mesh removal and negative pressure wound therapy: A case report.

Medicine (Baltimore) 2019 Dec;98(49):e18192

The Department of General Surgery, Ganzhou People's Hospital (The Affiliated Ganzhou Hospital of Nanchang University), Ganzhou, China.

Rationale: Tension-free repair of inguinal hernia with prosthetic materials in adults has become a routine surgical procedure. However, serious complications may arise such as mesh displacement, infection, and even enterocutaneous fistula (EF). The management of chronic mesh infection (CMI) complicated by an EF is very challenging. Read More

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http://dx.doi.org/10.1097/MD.0000000000018192DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6919388PMC
December 2019

Treatment experience of delayed massive gastrointestinal bleeding caused by intra-abdominal arteriointestinal fistula in gastric cancer patients after radical gastrectomy.

World J Surg Oncol 2019 Nov 30;17(1):201. Epub 2019 Nov 30.

Department of General Surgery, Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research & The Affiliated Cancer Hospital of Nanjing Medical University, No. 42, Baiziting, Nanjing, Jiangsu Province, 210009, China.

Background: Gastric cancer (GC) remains one of the leading causes of cancer-related death. Arteriointestinal fistula is a very rare but lethal postoperative complication in GC patients after gastrectomy. However, very few reports associated with arteriointestinal fistula have been published, and there is no matured diagnosis and treatment consensus for arteriointestinal fistula. Read More

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http://dx.doi.org/10.1186/s12957-019-1751-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6885310PMC
November 2019

Adipose-Derived Stem Cells Are an Efficient Treatment for Fistula-in-ano of Japanese Rabbit.

Stem Cells Int 2019 22;2019:6918090. Epub 2019 Oct 22.

Department of Pathology, Affiliated Hospital of Jining Medical University, Jining Medical University, Jining, 272029 Shandong, China.

Fistula-in-ano (FIA, anal fistula) treatment remains a surgical challenge for coloproctologists. Adipose tissue-derived stem cells (ADSCs) are a new frontier in the treatment of FIA. In this study, we established a FIA model of Japanese rabbit and evaluated the effect of four treatments on fistula healing: ADSC transplantation, acellular small intestinal submucosa (ASIS), noncutting seton, and PBS as negative control. Read More

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http://dx.doi.org/10.1155/2019/6918090DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6855042PMC
October 2019
2.806 Impact Factor

Invited Commentary on "Drained mucosal advancement flap versus rerouting seton" (Int. J. Surg. 2019; Epub ahead of print).

Authors:
Richard E Burney

Int J Surg 2020 01 26;73:25. Epub 2019 Nov 26.

Department of Surgery, University of Michigan, USA. Electronic address:

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http://dx.doi.org/10.1016/j.ijsu.2019.11.028DOI Listing
January 2020

[Investigation of treatment and analysis of prognostic risk on enterocutaneous fistula in China: a multicenter prospective study].

Zhonghua Wei Chang Wai Ke Za Zhi 2019 Nov;22(11):1041-1050

Research Institute of General Surgery, East War Zone Hospital of PLA, Nanjing 210002, China.

To investigate the diagnosis and treatment for enterocutaneous fistula (ECF) in China, and to explore the prognostic factors of ECF. A multi-center cross-sectional study was conducted based on the Registration System of Chinese Gastrointestinal Fistula and Intra-Abdominal Infections to collect the clinical data of ECF patients from 54 medical centers in 22 provinces/municipalities from January 1, 2018 to December 31, 2018. The clinical data included patient gender, age, length of hospital stay, intensive care unit (ICU) admission, underlying diseases, primary diseases, direct causes of ECF, location and type of ECF, complications, treatment and outcomes. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1671-0274.2019.11.007DOI Listing
November 2019

[Analysis on operational safety of chronic radiation intestinal injury].

Zhonghua Wei Chang Wai Ke Za Zhi 2019 Nov;22(11):1034-1040

Department of Colorectal Surgery, Radiation Enteropathy Specialty, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, China.

To investigate the safety and efficacy of surgical treatment for chronic radiation intestinal injury. A descriptive cohort study was performed. Clinical data of 73 patients with definite radiation history and diagnosed clinically as chronic radiation intestinal injury, undergoing operation at Department of Colorectal Surgery, the Sixth Affiliated Hospital of Sun Yat-sen University from January 1, 2012 to February 28, 2019, were reviewed and analyzed retrospectively. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1671-0274.2019.11.006DOI Listing
November 2019