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Current Bladder Dysfunction Reports
Published in: Current Bladder Dysfunction Reports 3/2017

01-09-2017 | Inflammatory/Infectious Bladder Disorders (MS Mourad, Section Editor)

Diagnosis and Treatments for Vesico-Enteric Fistulas: a 2017 Current Review

Authors: Justin W. Fincher, Ehab Eltahawy

Published in: Current Bladder Dysfunction Reports | Issue 3/2017

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Abstract

Purpose of review

Vesico-enteric fistulas (VEF) have a tremendous effect on patient quality of life. Unfortunately, clear diagnostic and management guidelines do not exist. In this article, we review the current evidence for workup and treatment of these fistulas. Additionally, new treatments are presented.

Recent findings

Technological advancements in imaging modalities have shifted diagnosis from simply demonstrating the fistula to providing anatomic and pathologic information. Furthermore, continued improvement in endoscopic and laparoscopic tools may allow for treatment of fistulas with durable results.

Summary

Management of the underlying disease process is key to management of VEF. Enhanced imaging techniques and improved medical therapies have allowed for better optimization prior to surgical therapy improving success rates. Additionally, endoscopic and laparoscopic treatments have allowed for more minimally invasive treatments, challenging the accepted practice of excision and repair of VEF. In the future, continued technological and medical developments will allow for better management of the underlying cause of VEF and decrease comorbidity associated with repair.
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Metadata
Title
Diagnosis and Treatments for Vesico-Enteric Fistulas: a 2017 Current Review
Authors
Justin W. Fincher
Ehab Eltahawy
Publication date
01-09-2017
Publisher
Springer US
Published in
Current Bladder Dysfunction Reports / Issue 3/2017
Print ISSN: 1931-7212
Electronic ISSN: 1931-7220
DOI
https://doi.org/10.1007/s11884-017-0436-1

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