Bowel Fistulas

The Laparoscopic Management of Benign Bowel Fistulas

BACKGROUND The presence of a fistula has usually been a factor predicting high conversion and complication rates following laparoscopic procedures for Crohn's disease and diverticulitis. METHODS We studied retrospective data collected from the medical case notes of patients. A single surgeon carried out all these procedures from 1991 through 2001. RESULTS Fourteen patients underwent 15 proc...

Prospective study of immunological factors in non-inflammatory bowel disease enterocutaneous fistulas

BACKGROUND Enterocutaneous fistulas (ECF) are debilitating and usually result following complex abdominal surgery. While there is an association with inflammatory bowel disease (IBD), a large number of fistulas occur after surgery not related to IBD. The consequences of ECF include short bowel syndrome and the need for long term parenteral nutrition.ECF can heal spontaneously and in the case of...

Non perianal fistulas in Crohn's disease and short bowel syndrome: what we can do?

Crohn's disease (CD) is a lifelong disease arising from an interaction between genetic and environmental factors, but seen predominantly in the developed countries of the world. The precise etiology is unknown and therefore a causal treatment is not yet available. Fistulating Crohn's disease includes fistulas arising in the perianal area, together with those communicating between the intestine ...

Rectovaginal fistulas.

[Pancreatic fistulas].

Based on 17 observations the authors review the major etiopathogenic, evolutive, clinical and therapeutic aspects of pancreatic fistulae. In 14 cases the cure was achieved by medical treatment while surgery was resorted to in only three cases. The medical measures are discussed, as well as the indications for surgical treatment.