Fístula colovesical de origen diverticularReportar como inadecuado




Fístula colovesical de origen diverticular - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Resumen

The main causes of colovesical fistulas are diverticular disease of the colon and colon carcinoma. Aim: To analyze the results of the surgical treatment of colovesical fistulas of diverticular origin. Material and Methods: Retrospective analysis of all patients operated for a colovesical fistula of diverticularorigin. Results: From a total of 141 patients subjected to a colon excision for diverticular disease, 18 had a colovesical fistula. The latter, compared to patients without fistulas were male in a higher proportion, were younger and had more concomitant diseases. Pneumaturia was reported in 83% and urine fecal soiling in 56%. In two thirds of patients, the fistula appeared in the absence of a diverticular crisis. Abdominal CAT scan demonstrated the fistula in 80% of cases. It was complemented with barium enema and cystoscopy. Excision with immediate anastomosis was the surgical procedure used in 94% of patients, without sequelae or relapse, after a mean follow up of 74 months. No patient died during the procedure or required a new intervention.Conclusions: Colovesical fistulas are most common in young men with associated diseases and their treatment of choice, with good long term results, is primary excision.



Autor: Bannura Cumsille, Guillermo; - Barrera Escobar, Alejandro; - Cumsille Garib, Miguel; - Melo L., Carlos; - Soto C., Daniel; - Cont

Fuente: http://repositorio.uchile.cl/



DESCARGAR PDF




Documentos relacionados