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.
|Titolo:||Does fecal diversion offer any chance for spontaneous closure of the radiation-induced rectovaginal fistula?|
|Autori interni:||JERECZEK, BARBARA ALICJA (Secondo)|
|Parole Chiave:||Colostomy; Complication; Radiotherapy; Rectovaginal fistula; Treatment|
|Settore Scientifico Disciplinare:||Settore MED/36 - Diagnostica per Immagini e Radioterapia|
|Data di pubblicazione:||gen-2008|
|Digital Object Identifier (DOI):||10.1111/j.1525-1438.2007.00954.x|
|Appare nelle tipologie:||01 - Articolo su periodico|