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Management of colovesical and colovaginal diverticular fistulas Our experience and literature reviewed.
Ann Ital Chir. 2017; 88:55-61.AI

Abstract

AIM

This study aims evaluate the effectiveness of various surgical techniques in treating diverticular fistulas, and the safety and efficacy of the laparoscopic procedure comparing our results with those of the literature.

MATERIAL OF STUDY

This was a prospective and uncontrolled study performed at a general surgery units. Between 2005 and 2011, 16 patients (11 men, 5 women) underwent surgery for diverticular fistulas. The mean age was 70.2 (range, 35-87) years. The medical evaluation of these patients was based on symptoms and diagnostic procedures confirming the diagnosis of diverticular fistulas. Our surgical options included one-stage, two-stage, and defunctioning procedures.

RESULTS

Out of 16 cases of diverticular fistula 14 were colovesical and 2 colovaginal. One-stage procedure was performed in 12 patients, two-stage procedure in 3 and defunctioning colostomy in 1. The overall complication rate was 31.2%. We recorded 1 colovesical recurrent fistula. The laparoscopic surgery was performed in 4 patients, nobody was converted to open and there were no post-operative complications and recurrence.

DISCUSSION AND CONCLUSIONS

The data show that one-stage procedure is effective in the majority of cases of diverticular fistulas. However, the surgery of colovesical and colovaginal fistulas is often associated to high complication rates. This is often due to the shoddy clinical conditions and long-term diverticular illness of this group of patients. At present, the laparoscopy in an elective setting is not considered any more a contraindication in the treatment of diverticular fistulas.

KEY WORDS

Diverticular fistulas, Laparoscopic surgery.

Authors

Marcucci T
No affiliation info available
Giannessi S
No affiliation info available
Giudici F
No affiliation info available
Riccadonna S
No affiliation info available
Gori A
No affiliation info available
Tonelli F
No affiliation info available

MeSH

AdultAgedAged, 80 and overColectomyColonic DiseasesDiverticulum, ColonFemaleHumansIntestinal FistulaLaparoscopyMaleMiddle AgedProspective StudiesTreatment OutcomeVaginal Fistula

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

28447967

Citation

Marcucci, Tommaso, et al. "Management of Colovesical and Colovaginal Diverticular Fistulas Our Experience and Literature Reviewed." Annali Italiani Di Chirurgia, vol. 88, 2017, pp. 55-61.
Marcucci T, Giannessi S, Giudici F, et al. Management of colovesical and colovaginal diverticular fistulas Our experience and literature reviewed. Ann Ital Chir. 2017;88:55-61.
Marcucci, T., Giannessi, S., Giudici, F., Riccadonna, S., Gori, A., & Tonelli, F. (2017). Management of colovesical and colovaginal diverticular fistulas Our experience and literature reviewed. Annali Italiani Di Chirurgia, 88, 55-61.
Marcucci T, et al. Management of Colovesical and Colovaginal Diverticular Fistulas Our Experience and Literature Reviewed. Ann Ital Chir. 2017;88:55-61. PubMed PMID: 28447967.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of colovesical and colovaginal diverticular fistulas Our experience and literature reviewed. AU - Marcucci,Tommaso, AU - Giannessi,Sandro, AU - Giudici,Francesco, AU - Riccadonna,Sara, AU - Gori,Agnese, AU - Tonelli,Francesco, PY - 2017/4/28/entrez PY - 2017/4/28/pubmed PY - 2018/4/4/medline SP - 55 EP - 61 JF - Annali italiani di chirurgia JO - Ann Ital Chir VL - 88 N2 - AIM: This study aims evaluate the effectiveness of various surgical techniques in treating diverticular fistulas, and the safety and efficacy of the laparoscopic procedure comparing our results with those of the literature. MATERIAL OF STUDY: This was a prospective and uncontrolled study performed at a general surgery units. Between 2005 and 2011, 16 patients (11 men, 5 women) underwent surgery for diverticular fistulas. The mean age was 70.2 (range, 35-87) years. The medical evaluation of these patients was based on symptoms and diagnostic procedures confirming the diagnosis of diverticular fistulas. Our surgical options included one-stage, two-stage, and defunctioning procedures. RESULTS: Out of 16 cases of diverticular fistula 14 were colovesical and 2 colovaginal. One-stage procedure was performed in 12 patients, two-stage procedure in 3 and defunctioning colostomy in 1. The overall complication rate was 31.2%. We recorded 1 colovesical recurrent fistula. The laparoscopic surgery was performed in 4 patients, nobody was converted to open and there were no post-operative complications and recurrence. DISCUSSION AND CONCLUSIONS: The data show that one-stage procedure is effective in the majority of cases of diverticular fistulas. However, the surgery of colovesical and colovaginal fistulas is often associated to high complication rates. This is often due to the shoddy clinical conditions and long-term diverticular illness of this group of patients. At present, the laparoscopy in an elective setting is not considered any more a contraindication in the treatment of diverticular fistulas. KEY WORDS: Diverticular fistulas, Laparoscopic surgery. SN - 2239-253X UR - https://www.unboundmedicine.com/medline/citation/28447967/Management_of_colovesical_and_colovaginal_diverticular_fistulas_Our_experience_and_literature_reviewed_ L2 - https://medlineplus.gov/diverticulosisanddiverticulitis.html DB - PRIME DP - Unbound Medicine ER -