Colovesical Fistula: A 28 year experience at a major United States Department of Veterans Affairs Medical Center

• DOI: 10.1016/j.sipas.2022.100100
• Publication Date: 2022-06-19T21:28:32Z
• Authors: Lucas Keller-Biehl; Kyeong Ri Yu; Leon Smith-Harrison; William Timmerman; Jeannie Rivers; Thomas Miller
• Keywords: Veterans Affairs; Diverticulitis; Barium enema; Cystography; Medical record

This study describes our 28-year experience with colovesical fistula at a major United States Department of Veterans Affairs Medical Center and highlights the clinical presentation treatment strategies used to manage this condition. We reviewed patient charts from electronic medical record Affairs. All patients who underwent colectomies, bladder repairs management gastrointestinal fistulas were downloaded identify those had diagnosis CVF. The historical cohort identified 12 1992 2004, an additional 29 managed January 2005 December 2020. Patient demographics, diagnostic approaches, surgical collected compared between two groups. In both cohorts, almost all male average age among them was 65.9 years. etiology CVF overwhelmingly due diverticulitis, cancer, radiation treatment, colon cancer responsible for remainder. findings cohorts very similar. Major symptoms included pneumaturia, fecaluria, frequent infections. Preoperative evaluation CT, cystoscopy, cystography, intravenous pyelogram, barium enema, colonoscopy. CT most likely confirm diagnosis. Thirty-three 41 repair their CVFs, as one-stage procedure, many using laparoscopic techniques. Eight permanent ostomies because serious co-morbid disorders. indicates that diverticulitis is leading cause followed by or colon, treatment. reliable imaging modality. A majority can have surgically, frequently performed laparoscopically good results.