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A community experience with entericovesical fistulas.
The American Surgeon
|September 1, 1985
Summary
Entericovesical fistulas, often caused by diverticulitis, present diagnostic and treatment challenges. A one-stage surgical approach is recommended for well-prepared patients, while a two-stage method suits complex cases.
Area of Science:
- Gastroenterology and Urology
- Surgical Complications
Background:
- Entericovesical fistulas are rare but challenging complications.
- Diverticulitis is the most frequent underlying cause.
Observation:
- A series of 16 cases highlights diagnostic and therapeutic difficulties.
- Surgical management strategies for diverticulitis influence fistula treatment.
Findings:
- A one-stage surgical procedure is often feasible and preferred for elective, well-prepared patients.
- A two-stage surgical approach is recommended when multi-stage intervention is necessary.
Implications:
- Increased clinical suspicion and familiarity with treatment protocols can improve patient outcomes.
- Optimizing surgical timing and approach is crucial for managing entericovesical fistulas effectively.