Related Experiment Videos
Enterovesical fistulas in Crohn's disease
1Department of Surgery, National Cancer Institute, Bratislava, Slovakia. pechan@stonline.sk
Bratislavske Lekarske Listy
|November 2, 2007
Summary
Enterovesical fistulas, a complication of Crohn's disease, were found in 6.83% of patients. Elective surgery is deemed safe and effective for managing these urinary tract complications in Crohn's disease patients.
Area of Science:
- Gastroenterology
- Surgical Urology
- Inflammatory Bowel Disease
Background:
- Crohn's disease is a chronic inflammatory bowel condition that can affect the urinary system.
- Urinary fistulas occur in 2-8% of Crohn's disease patients, despite general fistula rates of up to 35%.
Purpose of the Study:
- To investigate the incidence of enterovesical fistulas in patients with Crohn's disease.
- To evaluate the safety and effectiveness of surgical management for enterovesical fistulas in Crohn's disease.
Main Methods:
- Retrospective study conducted over a 10-year period.
- Inclusion of patients admitted for Crohn's disease to surgical departments.
- Analysis of surgical outcomes and complications.
Main Results:
- The incidence of enterovesical fistulas was 6.83% in the studied patient cohort.
- All patients underwent elective surgery with no severe postoperative complications.
- Anti-TNF therapy was utilized to manage severe inflammation, facilitating subsequent elective surgery.
Conclusions:
- Elective surgery is considered the primary treatment for enterovesical fistulas in Crohn's disease.
- Surgical intervention for enterovesical fistulas in Crohn's disease is both effective and safe.
- Management may involve a staged surgical approach, especially in cases of severe inflammation.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
01:27Diverticular Disease of the Colon
Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
01:17Chronic Bowel Disorders: Introduction
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
01:30Inflammatory Bowel Disease II: Crohn's Disease
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by transmural...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by transmural...
01:25Inflammatory Bowel Disease III: Crohn's Disease
Crohn’s disease is a chronic, relapsing form of inflammatory bowel disease characterized by segmental, transmural inflammation that can affect any part of the gastrointestinal tract. Its pathogenesis arises from a combination of genetic susceptibility, environmental exposures, epithelial barrier dysfunction, and immune dysregulation. Together, these factors lead to an exaggerated immune response against components of the gut microbiome.Genetic and Environmental InfluencesMultiple genetic...
01:26Inflammatory Bowel Disease I: Introduction
Inflammatory bowel disease is a group of chronic disorders marked by recurrent inflammation of the gastrointestinal tract due to an abnormal immune response against gut microflora. This leads to tissue damage. The two main forms are Crohn’s disease and ulcerative colitis.Crohn’s DiseaseCrohn’s disease is a relapsing inflammatory disorder that can affect any part of the GI tract, from the mouth to the anus. It involves all layers of the bowel wall (transmural) and shows “skip lesions” in which...