Your browser doesn't support javascript.

Portal Regional da BVS

Informação e Conhecimento para a Saúde

Home > Pesquisa > ()
Imprimir Exportar

Formato de exportação:


Adicionar mais destinatários
| |

Endoscopic fistulotomy in inflammatory bowel disease (with video).

Gastrointest Endosc; 2018 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-29501418


Fistulas in patients with inflammatory bowel disease (IBD) poses a key challenge in the management of the IBD patients. We aimed to describe a novel endoscopic method to treat the IBD patients who have fistulas.


A cohort of 29 consecutive patients with a fistula and IBD were identified in the registry of our interventional IBD unit. The endoscopic fistulotomy with needle-knife was performed. The primary outcome was healing of the fistula without the need for surgical intervention.


A total of 29 patients underwent endoscopic fistulotomy; the mean age of patients undergoing the procedure was 44.2 ± 14.6 years. Thirteen patients were male (44.8%),16 were female (55.2%). Twenty-six patients (89.6%) achieved complete resolution of the fistula as confirmed by endoscopy with a guidewire and/or cross-sectional abdominal imaging, with 10 patients (34.4%) requiring a single endoscopic treatment session. Three patients (10.3%) had a persistent fistula and required surgical intervention. One patient had postoperative bleeding requiring blood transfusion and hospitalization.


Endoscopic fistulotomy with a needle-knife appears to be safe and effective in treating IBD-related fistulas.