Portal de investigación
Colorectal-vaginal fistula after rectal cancer resection: international comparative cohort study of characteristics and treatment
Fecha de publicación:
Autores de IIS La Fe
Participantes ajenos a IIS La Fe
- Van Lieshout M.L.
- Lemmens J.M.G.
- Greijdanus N.G.
- Wienholts K.
- Ubels S.
- Talboom K.
- Hannink G.
- Wolthuis A.
- De Lacy F.B.
- Lefevre J.H.
- Solomon M.
- Rotholtz N.
- Denost Q.
- Perez R.O.
- Konishi T.
- Panis Y.
- Rutegård M.
- Hompes R.
- Van Workum F.
- Tanis P.J.
- De Wilt J.H.W.
- van Lieshout M.L.
- van Workum F.
Grupos
Abstract
A colorectal-vaginal fistula (CRVF) can occur as a complication of rectal cancer surgery. They can cause discomfort, repeated infection, need for treatment/further surgery, and a permanent stoma (an opening in the abdomen to collect bowel contents). This study looked at how often CRVF happened after surgery complicated by a leak where bowels ends have been joined together, how they were treated, and how likely patients were to live without a stoma 1 year after surgery. Researchers collected data on women from around the world who had rectal cancer surgery between 2014 and 2018 and developed a bowel leak (called anastomotic leakage). They compared those with and without a CRVF. A total of 88 out of 694 patients (12.7%) developed a CRVF. These patients more often had major surgery involving removal of nearby organs, including part of the vagina. They were more likely to have ongoing problems and needed more surgeries to manage them. Most had a temporary stoma, but only 29.5% could live without it after 1 year, compared with 48.7% of women without CRVF. CRVF is a serious complication that makes recovery harder. These patients are less likely to live without a stoma and usually need more surgery. However, if the leak is small, the chances of recovery without a permanent stoma are better. © The Author(s) 2025. Published by Oxford University Press on behalf of BJS Foundation Ltd.
Datos de la publicación
- ISSN/ISSNe:
- 0007-1323, 1365-2168
- Tipo:
- Article
- Páginas:
- -
- DOI:
- 10.1093/bjs/znaf189
- PubMed:
- 41251615
- Enlace a otro recurso:
- www.scopus.com
- Factor de Impacto:
- 2,479 SCImago ℠
- Cuartil:
- Q1 SCImago ℠
BJS-British Journal of Surgery OXFORD UNIV PRESS
Documentos
- No hay documentos
Filiaciones
Keywords
- abdominal contamination; adenocarcinoma; adult; anastomosis; Article; cancer surgery; cohort analysis; colorectal vaginal fistula; colostomy; contamination; female; hospitalization; human; ileostomy; intensive care unit; major clinical study; rectum cancer; stoma; stoma free survival; survival; vagina disease; article; longitudinal study; rectum; therapy; vagina disease
Cita
Van ML,Lemmens JMG,Greijdanus NG,Wienholts K,Ubels S,Talboom K,Hannink G,Wolthuis A,De Lacy FB,Lefevre JH,Solomon M,FRASSON M,Rotholtz N,Denost Q,Perez RO,Konishi T,Panis Y,Rutegård M,Hompes R,Van F,Tanis PJ,De Wilt JHW,van ML,van F. Colorectal-vaginal fistula after rectal cancer resection: international comparative cohort study of characteristics and treatment. BJS-Brit. J. Surg. 2025. 112. (11):znaf189. IF:9,600. (1).