ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2019
Perioperative Management of Patients with Colovesical Fistula.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 24 citations in OpenAlex.
- Diagnostic yield of cystography after sigmoid resection for colovesical fistula due to complicated diverticulitis.Techniques in coloproctology · 2025Article
- Iatrogenic enterovesical fistula secondary to a permanent urinary catheter.BMJ case reports · 2023Article
- Robotic colectomy and repair of colovesical fistula due to diverticulitis - a video vignette.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2021Article
- Surgical management of colovesical fistulas.Techniques in coloproctology · 2020Article
- When the bowel meets the bladder: Optimal management of colorectal pathology with urological involvement.World journal of gastrointestinal surgery · 2020Review
- The colovescical fistula in diverticular disease: Laparoscopic approach in two different cases.International journal of surgery case reports · 2020Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundColovesical fistula (CVF) is an uncommon complication of diverticulitis. Substantial heterogeneity exists in the perioperative management of this condition. We seek to evaluate the role of bladder leak testing, closed suction drainage, prolonged bladder catheter usage, and routine postoperative cystogram in the management of CVF. STUDY
designThis is a retrospective study from a single academic health center investigation patients undergoing operation for diverticular CVF from 2005 to 2015 (n = 89).
resultsPatients undergoing operative repair for diverticular CVF resection had a mortality of 4% and overall morbidity of 46%. Intraoperative bladder leak test was performed in 36 patients (40%) and demonstrated a leak in 4 patients (11%). No patients with a negative intraoperative bladder leak test developed a urinary leak. Overall, five (6%) patients developed postoperative bladder leak. Three were identified by elevated drain creatinine and two by cystogram. The diagnostic yield of routine cystogram was 3%. All bladder leaks were diagnosed between postoperative day 3 and 7. Of patients with a postoperative bladder leak, none required reoperation and all resolved within 2 months.
conclusionsThere is significant variability in the management of patients undergoing operation for CVF. Routine intraoperative bladder leak test should be performed. Cystogram may add cost and is low yield for routine evaluation for bladder leak after operation for CVF. Urinary catheter removal before postoperative day 7 should be considered.
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