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01-09-2005 | Current Status

Ileal Pouch–Anal Anastomosis–Vaginal Fistula: A Review

Authors: S. Lolohea, M.B.Ch.B., F.R.A.C.S., A. C. Lynch, M.B.Ch.B., M.Med.Sc., F.R.A.C.S., G. B. Robertson, M.B.Ch.B., F.R.A.C.S., F. A. Frizelle, M.B.Ch.B., M.Med.Sc., F.R.A.C.S.

Published in: Diseases of the Colon & Rectum | Issue 9/2005

BACKGROUND

Fistula between an ileal pouch and the vagina is an uncommon complication of ileal pouch–anal anastomosis. Its optimal management has not been determined because of its low incidence.

METHODS

The literature describing such fistulas was reviewed to determine the incidence, cause, and appropriate investigation and repair of these lesions. A literature search was performed with the PubMed, MEDLINE, and EMBASE databases. Through this search we located English-language articles from 1970 to 2003 on pouch-vaginal fistulas following ileal pouch–anal anastomosis. References from these articles were searched manually for further references.

RESULTS AND CONCLUSION

Pouch-vaginal fistula occurs in 6.3 (range, 3.3–15.8) percent of female patients with an ileal pouch–anal anastomosis. Sepsis and technical factors are the most common contributors. It is the cause of considerable morbidity. Management depends on the level of the fistula, the amount of pelvic scar tissue, and previous treatments. An algorithm for surgical treatment is suggested.

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Title: Ileal Pouch–Anal Anastomosis–Vaginal Fistula: A Review
Authors: S. Lolohea, M.B.Ch.B., F.R.A.C.S.
A. C. Lynch, M.B.Ch.B., M.Med.Sc., F.R.A.C.S.
G. B. Robertson, M.B.Ch.B., F.R.A.C.S.
F. A. Frizelle, M.B.Ch.B., M.Med.Sc., F.R.A.C.S.
Publication date: 01-09-2005
Publisher: Springer-Verlag
Published in: Diseases of the Colon & Rectum / Issue 9/2005
Print ISSN: 0012-3706
Electronic ISSN: 1530-0358
DOI: https://doi.org/10.1007/s10350-005-0079-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Ileal Pouch–Anal Anastomosis–Vaginal Fistula: A Review

BACKGROUND

METHODS

RESULTS AND CONCLUSION

Keynote webinar | Spotlight on medication adherence

Springer Medicine

BACKGROUND

METHODS

RESULTS AND CONCLUSION

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