Document Detail

Does fecal diversion offer any chance for spontaneous closure of the radiation-induced rectovaginal fistula?
MedLine Citation:
PMID:  17466039     Owner:  NLM     Status:  MEDLINE    
Analysis of the clinical course of patients with postirradiation rectovaginal fistula after fecal diversion. The studied group included 17 women with postirradiation rectovaginal fistula who underwent fecal diversion as a sole mode of treatment, between January 1987 and December 2002, in our department. All patients were subjected to radiotherapy due to cancer of the uterine cervix, administered 5-107 months before the fistula appearance (mean, 22.9 months). In 3 of 17 patients (18%), spontaneous closure of fistula was observed after 5, 6, and 9 months, respectively, from fecal diversion. Closure was confirmed by endoscopy. Length of follow-up after fecal diversion ranged from 0.5 to 122 months. The actuarial probability of spontaneous closure of postradiotherapy rectovaginal fistula was 0.24 at 9 months of follow-up and then remained stable thereafter. In conclusion, colostomy alone gives hardly a chance for closure of the postradiotherapy rectovaginal fistula. Additional surgical measures are necessary.
J H Piekarski; B A Jereczek-Fossa; D Nejc; P Pluta; W Szymczak; P Sek; A Bilski; L Gottwald; A Jeziorski
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Publication Detail:
Type:  Journal Article     Date:  2007-04-26
Journal Detail:
Title:  International journal of gynecological cancer : official journal of the International Gynecological Cancer Society     Volume:  18     ISSN:  1525-1438     ISO Abbreviation:  Int. J. Gynecol. Cancer     Publication Date:    2008 Jan-Feb
Date Detail:
Created Date:  2008-01-14     Completed Date:  2008-03-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9111626     Medline TA:  Int J Gynecol Cancer     Country:  United States    
Other Details:
Languages:  eng     Pagination:  66-70     Citation Subset:  IM    
Department of Surgical Oncology, Chair of Oncology, Medical University of Lodz, Lodz, Poland.
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MeSH Terms
Anus Diseases / surgery*
Follow-Up Studies
Middle Aged
Neoplasm Recurrence, Local / etiology
Radiation Injuries / etiology,  surgery*
Rectovaginal Fistula / diagnosis,  etiology,  surgery*
Retrospective Studies
Uterine Cervical Neoplasms / complications,  radiotherapy*

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