TY - JOUR
T1 - Does fecal diversion offer any chance for spontaneous closure of the radiation-induced rectovaginal fistula?
AU - Piekarski, J. H.
AU - Jereczek-Fossa, B. A.
AU - Nejc, D.
AU - Pluta, P.
AU - Szymczak, W.
AU - Sek, P.
AU - Bilski, A.
AU - Gottwald, L.
AU - Jeziorski, A.
PY - 2008/1
Y1 - 2008/1
N2 - 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.
AB - 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.
KW - Colostomy
KW - Complication
KW - Radiotherapy
KW - Rectovaginal fistula
KW - Treatment
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U2 - 10.1111/j.1525-1438.2007.00954.x
DO - 10.1111/j.1525-1438.2007.00954.x
M3 - Article
C2 - 17466039
AN - SCOPUS:38049087171
VL - 18
SP - 66
EP - 70
JO - International Journal of Gynecological Cancer
JF - International Journal of Gynecological Cancer
SN - 1048-891X
IS - 1
ER -