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Colonic fistulas

I C Lavery1

  • 1Department of Colorectal Surgery, Cleveland Clinic Foundation, Ohio, USA.

The Surgical Clinics of North America
|October 1, 1996
PubMed
Summary
This summary is machine-generated.

Colonic fistulas, uncommon abnormal passages, can be external or internal. External fistulas often result from surgical complications like anastomosis leaks or abscess drainage.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Colonic fistulas are rare gastrointestinal (GI) tract complications.
  • These fistulas can manifest externally or internally, connecting the colon to other organs.
  • External fistulas are commonly associated with surgical interventions or complications.

Purpose of the Study:

  • To review the etiology and presentation of colonic fistulas.
  • To highlight common causes of external colonic fistulas.

Main Methods:

  • Literature review of colonic fistula cases.
  • Analysis of surgical complication data related to colonic fistulas.

Main Results:

  • Colonic fistulas are infrequent occurrences in clinical practice.

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  • External fistulas are a significant subset, often linked to surgical procedures.
  • Common causes include anastomotic leakage and drainage of abscesses secondary to underlying pathology.
  • Conclusions:

    • Colonic fistulas necessitate careful consideration in surgical patients.
    • Understanding the origins of external fistulas is crucial for patient management.