| Does fecal diversion offer any chance for spontaneous closure of the radiation-induced rectovaginal fistula? | |
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MedLine Citation:
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PMID: 17466039 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Journal Article Date: 2007-04-26 |
Journal Detail:
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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:
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Created Date: 2008-01-14 Completed Date: 2008-03-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9111626 Medline TA: Int J Gynecol Cancer Country: United States |
Other Details:
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Languages: eng Pagination: 66-70 Citation Subset: IM |
Affiliation:
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Department of Surgical Oncology, Chair of Oncology, Medical University of Lodz, Lodz, Poland. januszpiekar@poczta.onet.pl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Anus Diseases / surgery* Colostomy Female Follow-Up Studies Humans Middle Aged Neoplasm Recurrence, Local / etiology Radiation Injuries / etiology, surgery* Rectovaginal Fistula / diagnosis, etiology, surgery* Retrospective Studies Uterine Cervical Neoplasms / complications, radiotherapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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