Treatment of rectovaginal fistula after colorectal resection with endoscopic stenting: long-term results.
Colorectal Dis
; 17(4): 356-60, 2015 Apr.
Article
em En
| MEDLINE
| ID: mdl-25524247
ABSTRACT
AIM:
To treat patients with rectovaginal fistula after anterior resection for cancer using self-expanding metal stents.METHOD:
Ten patients of mean age of 56.3 years with rectovaginal fistula after colorectal resection for cancer were treated with endoscopic placement of a self-expanding metal stent. In three patients a diverting proximal stoma had been performed elsewhere. The rectal opening of the fistula was located from 3 to 10 cm from the anal verge (mean 6 cm). All patients had preoperative radiotherapy. In seven patients the stent was placed as the initial treatment while three referred patients had had multiple failed operations.RESULTS:
There were no complications after the procedure. At a mean follow-up of 24 months the rectovaginal fistula has healed without major faecal incontinence in eight patients. In the remaining two the fistula has reduced significantly in size to allow a successful flap transposition.CONCLUSION:
Endoscopic placement of a self-expanding metal stent is a valid adjunct to treat patients with rectovaginal fistula after colorectal resection for cancer.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
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Reto
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Neoplasias Colorretais
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Stents
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Fístula Retovaginal
Limite:
Adult
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Aged
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Female
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Humans
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Middle aged
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article