ArticleTechniques in coloproctology2014
Outcome of colonic fistula surgery in the modern surgical era.
Article in Techniques in coloproctology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.
- Laparoscopic treatment of colovesical fistulas due to complicated colonic diverticular disease: a systematic review.Techniques in coloproctology · 2014Pooled it
- Pooled it
- Endoscopic Closure of a Postablation Colorenal Fistula Using a Through-The-Scope Helical Suturing System.ACG case reports journal · 2026Article
- When the bowel meets the bladder: Optimal management of colorectal pathology with urological involvement.World journal of gastrointestinal surgery · 2020Review
- Laparoscopic surgery for colovesical fistula associated with sigmoid colon diverticulitis: a review of 39 cases.Journal of the anus, rectum and colon · 2019Article
- Diverticulitis of the transverse colon manifesting as colocutaneous fistula.Annals of the Royal College of Surgeons of England · 2018Article
- [Colovesical fistulas : An interdisciplinary challenge].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017Article
- Risk factors associated with postoperative morbidity in over 500 colovesical fistula patients undergoing colorectal surgery: a retrospective cohort study from ACS-NSQIP database.International journal of colorectal disease · 2017Article
- Laparoscopic surgery of benign entero-vesical or entero-vaginal fistulae.International journal of colorectal disease · 2016Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVarious conditions lead to the development of colonic fistulas. Contemporary surgical data is scarce and it is unclear whether advances in surgical care have impacted outcome. The aim of the present study was to review the short- and long-term outcome of patients treated surgically for colonic fistula over an 8-year period at a tertiary institution.
methodsA retrospective review was performed, focusing on the type of operative interventions, short- and long-term complications, length of hospital stay, readmission rate, mortality rate, and fistula recurrence.
resultsForty-five patients were treated for colonic fistula. The most common etiology was diverticulitis (74%). Fistula type was colovesical (58%), colocutaneous (18%) and colovaginal (15%). Laparoscopic resection was performed in 42% of cases. An intraoperative complication occurred in 4%. A primary anastomosis was performed in 96% of patients and 10 (23%) had a temporary stoma. Median length of hospital stay was 6 days. Postoperative complications were common (47%) and wound infection was noted in 20% of patients. The readmission rate was 29% and the 90-day mortality was 4%. All patients healed their fistula with no recurrences noted during a median follow-up of 37 months.
conclusionsSurgical intervention healed the majority of patients with colonic fistula. However postoperative complications were common and readmission occurred in one-third of the cases. Laparoscopic excision was feasible in nearly half of the patients.
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