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Colonic fistula

MedGen UID:
83324
•Concept ID:
C0341365
•
Anatomical Abnormality
Synonym: Colonic Fistula
SNOMED CT: Colonic fistula (197250003)

Definition

An abnormal communication between the large intestine and another organ or cavity. [from NCI]

Professional guidelines

PubMed

Management of colonic fistulas in patients with infected pancreatic necrosis being treated with a step-up approach.
Gao L, Zhang JZ, Gao K, Zhou J, Li G, Li BQ, Ye B, Ke L, Tong ZH, Li WQ
HPB (Oxford) 2020 Dec;22(12):1738-1744. Epub 2020 Apr 26 doi: 10.1016/j.hpb.2020.03.021. PMID: 32349924
Surgical management in acute diverticulitis and its association with multi-detector CT, modified Hinchey classification, and clinical parameters.
Bates DDB, Fernandez MB, Ponchiardi C, von Plato M, Teich JP, Narsule C, Anderson SW, Gupta A, LeBedis CA
Abdom Radiol (NY) 2018 Aug;43(8):2060-2065. doi: 10.1007/s00261-017-1422-y. PMID: 29204676Free PMC Article
Endoscopic management of complications in digestive surgery.
Dray X, Camus M, Chaput U
J Visc Surg 2013 Jun;150(3 Suppl):S3-9. Epub 2013 Jun 21 doi: 10.1016/j.jviscsurg.2013.04.005. PMID: 23796844

Recent clinical studies

Etiology

Gallstone Ileus. What therapeutic options are there?
Vasilescu AM, Tarcoveanu E, Bradea C, Lupascu C, Stagnitti F
Ann Ital Chir 2022;92:300-306. PMID: 35122424
Spontaneous Internal Pancreatic Fistulae Complicating Acute Pancreatitis.
Singh A, Aggarwal M, Garg R, Walsh M, Stevens T, Chahal P
Am J Gastroenterol 2021 Jul 1;116(7):1381-1386. doi: 10.14309/ajg.0000000000001282. PMID: 34183576
Arterial-enteric fistula after pelvic lymphadenectomy in secondary cytoreductive surgery for recurrent ovarian cancer.
Cosentino F, Turco LC, Fagotti A, Cianci S, Gallotta V, Rosati A, Corbisiero F, Scambia G, Ferrandina G
J Obstet Gynaecol 2019 Nov;39(8):1049-1056. Epub 2019 Jun 14 doi: 10.1080/01443615.2019.1586856. PMID: 31195870
Outcome of Surgery for Coloduodenal Fistula in Crohn's Disease.
Gong J, Wei Y, Gu L, Li Y, Guo Z, Sun J, Ding C, Zhu W, Li N, Li J
J Gastrointest Surg 2016 May;20(5):976-84. Epub 2015 Dec 30 doi: 10.1007/s11605-015-3065-z. PMID: 26718702
Transtracheal approach to repair of a tracheo-colonic fistula 44 years after colonic interposition.
Mehra S, Scherl S, Lazarus C, Dewey E, Urken ML
Head Neck 2014 Nov;36(11):E117-20. Epub 2014 Apr 3 doi: 10.1002/hed.23586. PMID: 24375707

Diagnosis

Abdominal wall necrotising fasciitis with colonic fistula.
Smith MJ, Lim R, Muhlmann MD
ANZ J Surg 2022 Dec;92(12):3387-3388. Epub 2022 Apr 15 doi: 10.1111/ans.17726. PMID: 35426478Free PMC Article
Gallstone Ileus. What therapeutic options are there?
Vasilescu AM, Tarcoveanu E, Bradea C, Lupascu C, Stagnitti F
Ann Ital Chir 2022;92:300-306. PMID: 35122424
Spontaneous Internal Pancreatic Fistulae Complicating Acute Pancreatitis.
Singh A, Aggarwal M, Garg R, Walsh M, Stevens T, Chahal P
Am J Gastroenterol 2021 Jul 1;116(7):1381-1386. doi: 10.14309/ajg.0000000000001282. PMID: 34183576
A Rare Complication of Pancreatitis.
Patterson M, Bernstein CN
Gastroenterology 2021 Apr;160(5):1479-1480. Epub 2020 Dec 17 doi: 10.1053/j.gastro.2020.12.022. PMID: 33346005
Biliary-colonic fistula.
Smyth J, Dasari BV, Hannon R
Clin Gastroenterol Hepatol 2011 Oct;9(10):A26. Epub 2011 Apr 22 doi: 10.1016/j.cgh.2011.04.015. PMID: 21600303

Therapy

Rare cause of lower gastrointestinal bleeding: Iliac aneurysmo-colonic fistula after endovascular treatment.
Hirai M, Toya Y, Kikuchi A, Yanai S, Tabayashi A, Matsumoto T
J Gastroenterol Hepatol 2022 Mar;37(3):417. Epub 2021 Aug 19 doi: 10.1111/jgh.15651. PMID: 34414602
Arterial-enteric fistula after pelvic lymphadenectomy in secondary cytoreductive surgery for recurrent ovarian cancer.
Cosentino F, Turco LC, Fagotti A, Cianci S, Gallotta V, Rosati A, Corbisiero F, Scambia G, Ferrandina G
J Obstet Gynaecol 2019 Nov;39(8):1049-1056. Epub 2019 Jun 14 doi: 10.1080/01443615.2019.1586856. PMID: 31195870
Transtracheal approach to repair of a tracheo-colonic fistula 44 years after colonic interposition.
Mehra S, Scherl S, Lazarus C, Dewey E, Urken ML
Head Neck 2014 Nov;36(11):E117-20. Epub 2014 Apr 3 doi: 10.1002/hed.23586. PMID: 24375707
Outcome of colonic fistula surgery in the modern surgical era.
Tam MS, Abbass M, Tsay AT, Abbas MA
Tech Coloproctol 2014 May;18(5):467-72. Epub 2013 Nov 6 doi: 10.1007/s10151-013-1085-9. PMID: 24197901
Endoscopic management of complications in digestive surgery.
Dray X, Camus M, Chaput U
J Visc Surg 2013 Jun;150(3 Suppl):S3-9. Epub 2013 Jun 21 doi: 10.1016/j.jviscsurg.2013.04.005. PMID: 23796844

Prognosis

Sigmoido-Cecal Fistula: A Rare Case of Complicated Recurrent Diverticulitis and a Review of the Literature.
Strati TM, Sapalidis K, Koimtzis GD, Pavlidis E, Atmatzidis S, Liavas L, Chrysogonidis I, Samoilis G, Zarampouka K, Michailidou K, Kesisoglou II, Kosmidis C
Am J Case Rep 2018 Nov 22;19:1386-1392. doi: 10.12659/AJCR.911790. PMID: 30464167Free PMC Article
Gastrointestinal Fistulas in Acute Pancreatitis With Infected Pancreatic or Peripancreatic Necrosis: A 4-Year Single-Center Experience.
Jiang W, Tong Z, Yang D, Ke L, Shen X, Zhou J, Li G, Li W, Li J
Medicine (Baltimore) 2016 Apr;95(14):e3318. doi: 10.1097/MD.0000000000003318. PMID: 27057908Free PMC Article
Early complications after interventions in patients with acute pancreatitis.
Wei AL, Guo Q, Wang MJ, Hu WM, Zhang ZD
World J Gastroenterol 2016 Mar 7;22(9):2828-36. doi: 10.3748/wjg.v22.i9.2828. PMID: 26973421Free PMC Article
Transtracheal approach to repair of a tracheo-colonic fistula 44 years after colonic interposition.
Mehra S, Scherl S, Lazarus C, Dewey E, Urken ML
Head Neck 2014 Nov;36(11):E117-20. Epub 2014 Apr 3 doi: 10.1002/hed.23586. PMID: 24375707
Outcome of colonic fistula surgery in the modern surgical era.
Tam MS, Abbass M, Tsay AT, Abbas MA
Tech Coloproctol 2014 May;18(5):467-72. Epub 2013 Nov 6 doi: 10.1007/s10151-013-1085-9. PMID: 24197901

Clinical prediction guides

Chronic jejuno-colonic fistula and intestinal malabsorption due to multiple magnet ingestions: A case report and systematic review.
Özcan R, Hakalmaz AE, Kalyoncu Uçar A, Beser O, Emre S
Ulus Travma Acil Cerrahi Derg 2024 May;30(5):361-369. doi: 10.14744/tjtes.2024.50845. PMID: 38738679Free PMC Article
Ultrasonic Diagnosis of Congenital Enterocolitis Fistula: A Case Report.
Yan Z, Ma B, Pang Y, Li T, Wang Y, Nie F
Curr Med Imaging 2024;20:e15734056286242. doi: 10.2174/0115734056286242240222092226. PMID: 38676486
Over-the-Scope Clip Closure of Pancreatico-Colonic Fistula Secondary to Acute or Chronic Pancreatitis: A Case Series.
Lünse S, Höhn J, Glitsch A, Keßler W, Simon P, Heidecke CD, Schreiber A
J Laparoendosc Adv Surg Tech A 2019 Aug;29(8):1000-1004. Epub 2019 May 9 doi: 10.1089/lap.2019.0166. PMID: 31070500
Gastrointestinal Fistulas in Acute Pancreatitis With Infected Pancreatic or Peripancreatic Necrosis: A 4-Year Single-Center Experience.
Jiang W, Tong Z, Yang D, Ke L, Shen X, Zhou J, Li G, Li W, Li J
Medicine (Baltimore) 2016 Apr;95(14):e3318. doi: 10.1097/MD.0000000000003318. PMID: 27057908Free PMC Article
Early complications after interventions in patients with acute pancreatitis.
Wei AL, Guo Q, Wang MJ, Hu WM, Zhang ZD
World J Gastroenterol 2016 Mar 7;22(9):2828-36. doi: 10.3748/wjg.v22.i9.2828. PMID: 26973421Free PMC Article

Recent systematic reviews

Chronic jejuno-colonic fistula and intestinal malabsorption due to multiple magnet ingestions: A case report and systematic review.
Özcan R, Hakalmaz AE, Kalyoncu Uçar A, Beser O, Emre S
Ulus Travma Acil Cerrahi Derg 2024 May;30(5):361-369. doi: 10.14744/tjtes.2024.50845. PMID: 38738679Free PMC Article

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