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Updated: May 1, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Is operation always necessary for enterovesical fistulas in Crohn's disease?
1Division of Gastroenterology, Long Island Jewish Medical Center, New Hyde Park, New York 11042.
Abstract:
We have followed 11 patients with Crohn's disease and enterovesical fistulas prospectively for up to 21 years. Seven patients underwent resection for complications other than the fistula; the fistula had been present up to 5 years in this group. Four patients have being followed medically for 1-21 years since a fistula was recognized. In no patient of either group has renal impairment developed. We suggest that enterovesical fistula by itself is not an indication for surgical intervention.
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