Ileal pouch vaginal fistulas: Incidence, etiology, and management

Steven D. Wexner; David A. Rothenberger; Linda Jensen; Stanley M. Goldberg; Emmanuel G. Balcos; Paul Belliveau; Bradley H. Bennett; John G. Buls; Jeffrey M. Cohen; Harold L. Kennedy; Steven J. Medwell; Theodore M. Ross; David J. Schoetz; Lee E. Smith; Alan G. Thorson

doi:10.1007/BF02554497

Ileal pouch vaginal fistulas: Incidence, etiology, and management

Steven D. Wexner, David A. Rothenberger, Linda Jensen, Stanley M. Goldberg, Emmanuel G. Balcos, Paul Belliveau, Bradley H. Bennett, John G. Buls, Jeffrey M. Cohen, Harold L. Kennedy, Steven J. Medwell, Theodore M. Ross, David J. Schoetz, Lee E. Smith, Alan G. Thorson

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Abstract

Some of the initial problems associated with the ileonal reservoir have been solved. In their place, other complications have been recognized. Among these, the ileal pouch vaginal fistula stands out as a recently recognized difficult management problem. This multicenter study was undertaken to gain insight into the causes for, and treatment of, pouch vaginal fistulas. Cases were gathered from 11 surgical practices, throughout North America, in which the ileoanal reservoir procedure is frequently performed. Overall, 304 females had undergone ileoanal reservoir procedures by these surgical groups. Twenty-one patients developed 22 pouch vaginal fistulas for an overall incidence of 6.9 percent. Five additional patients with pouch vaginal fistulas, whose restorative proctocolectomies were done elsewhere, were referred to these surgeons for treatment. The courses of these 26 patients form the basis of this report. This study details the risk factors which predispose to the development of a pouch vaginal fistula, as well as the various treatment options available.

Original language	English (US)
Pages (from-to)	460-465
Number of pages	6
Journal	Diseases of the Colon & Rectum
Volume	32
Issue number	6
DOIs	https://doi.org/10.1007/BF02554497
State	Published - Jun 1989

Keywords

Anal fistula
Complications
Familial adenomatous polyposis
Ileoanal reservior
Pouch
Restorative proctocolectomy
Ulcerative colitis
Vaginal fistula

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Wexner, S. D., Rothenberger, D. A., Jensen, L., Goldberg, S. M., Balcos, E. G., Belliveau, P., Bennett, B. H., Buls, J. G., Cohen, J. M., Kennedy, H. L., Medwell, S. J., Ross, T. M., Schoetz, D. J., Smith, L. E., & Thorson, A. G. (1989). Ileal pouch vaginal fistulas: Incidence, etiology, and management. Diseases of the Colon & Rectum, 32(6), 460-465. https://doi.org/10.1007/BF02554497

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abstract = "Some of the initial problems associated with the ileonal reservoir have been solved. In their place, other complications have been recognized. Among these, the ileal pouch vaginal fistula stands out as a recently recognized difficult management problem. This multicenter study was undertaken to gain insight into the causes for, and treatment of, pouch vaginal fistulas. Cases were gathered from 11 surgical practices, throughout North America, in which the ileoanal reservoir procedure is frequently performed. Overall, 304 females had undergone ileoanal reservoir procedures by these surgical groups. Twenty-one patients developed 22 pouch vaginal fistulas for an overall incidence of 6.9 percent. Five additional patients with pouch vaginal fistulas, whose restorative proctocolectomies were done elsewhere, were referred to these surgeons for treatment. The courses of these 26 patients form the basis of this report. This study details the risk factors which predispose to the development of a pouch vaginal fistula, as well as the various treatment options available.",

keywords = "Anal fistula, Complications, Familial adenomatous polyposis, Ileoanal reservior, Pouch, Restorative proctocolectomy, Ulcerative colitis, Vaginal fistula",

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AU - Belliveau, Paul

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AU - Buls, John G.

AU - Cohen, Jeffrey M.

AU - Kennedy, Harold L.

AU - Medwell, Steven J.

AU - Ross, Theodore M.

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AB - Some of the initial problems associated with the ileonal reservoir have been solved. In their place, other complications have been recognized. Among these, the ileal pouch vaginal fistula stands out as a recently recognized difficult management problem. This multicenter study was undertaken to gain insight into the causes for, and treatment of, pouch vaginal fistulas. Cases were gathered from 11 surgical practices, throughout North America, in which the ileoanal reservoir procedure is frequently performed. Overall, 304 females had undergone ileoanal reservoir procedures by these surgical groups. Twenty-one patients developed 22 pouch vaginal fistulas for an overall incidence of 6.9 percent. Five additional patients with pouch vaginal fistulas, whose restorative proctocolectomies were done elsewhere, were referred to these surgeons for treatment. The courses of these 26 patients form the basis of this report. This study details the risk factors which predispose to the development of a pouch vaginal fistula, as well as the various treatment options available.

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KW - Pouch

KW - Restorative proctocolectomy

KW - Ulcerative colitis

KW - Vaginal fistula

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Ileal pouch vaginal fistulas: Incidence, etiology, and management

Abstract

Keywords

UN SDGs

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