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Late failure of a stapled small-bowel exclusion procedure
Diseases of the Colon and Rectum
|February 1, 1985
Summary
Late stapled small-bowel exclusion failure caused enterovaginal fistula recurrence. Reoperation and bowel division resolved the issue, highlighting the need for transection, not just stapling, in exclusion procedures.
Area of Science:
- Gastroenterology
- Surgical Innovation
Background:
- Enterovaginal fistulas can necessitate surgical intervention.
- Small-bowel exclusion is a surgical technique used to manage certain gastrointestinal conditions.
Observation:
- A patient experienced late failure of a stapled small-bowel exclusion.
- This failure led to the recurrence of an enterovaginal fistula.
Findings:
- The recurrence required reoperation and division of the small bowel.
- Post-division, the patient recovered and remained well.
Implications:
- Current literature suggests stapling alone may be insufficient for bowel exclusion.
- Performing both stapling and transection of the bowel is recommended for exclusion procedures to prevent fistula recurrence.