secondary aortoenteric fistula (saf) is an uncommon but very important complication of abdominal aortic reconstruction. the complication often occurs months to years after aortic surgery. the clinical manifestation of the aortoenteric fistula is always upper gastrointestinal bleeding. treatment of the disease is early surgical intervention. if operative treatment is not performed promptly, the ...

Enterocutaneous (EC) fistula is an abnormal connection between the gastrointestinal (GI) tract and skin. The majority of EC fistulas result from surgery. About one third of fistulas close spontaneously with medical treatment and radiologic interventions. Surgical treatment should be reserved for use after sufficient time has passed from the previous laparotomy to allow lysis of the fibrous adhe...

INTRODUCTION Cholecystocolic fistula is a rare complication of gallbladder disease. Its clinical presentation is variable and nonspecific, and the diagnosis is made, mostly, incidentally during intraoperative maneuver. Cholecystectomy with closure of the fistula is considered the treatment of choice for the condition, with an increasingly reproducible tendency to the use of laparoscopy. AIM T...

Communication between the maxillary sinus and oral cavity is a common complica‐ tion in oral surgery. It results mainly from maxillary premolar and molar extractions when the sinus floor is close to the tooth apex. It can also occur after an infection involving the maxillary teeth, invasion of the sinus cavity by a cyst or carcinoma, trauma, the Caldwell-Luc operation, or other dentoalveolar or...

OBJECTIVE To study the main causes of fistula, and to determine the factors related to a successful treatment. METHODS From November 2002 to October 2005, a total of 70 consecutive patients with enterocutaneous fistula in Gastroenterology and Hepatology Teaching Hospital, Baghdad, Iraq, were studied prospectively. Fifty-two patients received total parenteral nutrition. Internal gastrointestin...

BACKGROUND Obstetric fistula is a debilitating birth injury that affects an estimated 2-3 million women globally, most in sub-Saharan Africa and Asia. The urinary and/or fecal incontinence associated with fistula affects women physically, psychologically and socioeconomically. Surgical management of fistula is available with clinical success rates ranging from 65-95 %. Previous research on fist...

CONTEXT Pancreaticopleural fistula is seen in acute and chronic pancreatitis or after traumatic or surgical disruption of the pancreatic duct. Surgery leads to healing in 80-90% of cases but carries a mortality of up to 10%. AIM Our aim was to assess the management of pancreaticopleural fistula on a specialist pancreatic Unit. METHODS Patients presenting with pancreaticopleural fistulae wer...

BACKGROUND Gastrogastric fistula (GGF) is a rare complication after Roux-en-Y gastric bypass (RYGB) that can be challenging to treat. OBJECTIVE The aim of this study is to examine our surgical experience in the management of GGF after RYGB. SETTING Academic center, United States. METHODS We report a consecutive series of 36 patients who underwent surgery for GGF at our institution between...

OBJECTIVE To determine the commonest cause of genitourinary fistulae and evaluate the experience of the surgical management. The study was carried out at the Urology Department, Jinnah Postgraduate Medical Centre (JPMC), Karachi. METHODS Twenty two patients were operated including 14 of Vesicovaginal Fistula (WF), and 8 of Ureterovaginal Fistula (UVF). In one patient of WF fistula was extendi...

An esophagorespiratory fistula (ERF) is an often fatal consequence of esophageal or bronchogenic carcinomas. The preferred treatment is placement of esophageal and/or airway stents. Stent placement must be performed as quickly as possible since patients with ERFs are at a high risk for aspiration pneumonia. In this review, choice of stents and stenting area, fistula reopening and its management...