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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
|
pubmed:dateCreated |
1995-11-3
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pubmed:abstractText |
Internal fistula is a complication of Crohn's disease. Among 589 patients operated upon at Hôpital Saint-Antoine between 1970 and 1992, 17 (2.9%) had entero-vesical fistula. Ileovesical fistulas were twice as frequent as sigmoidovesical fistulas. Typical symptoms were pneumaturia, fecaluria, and recurrent urinary tract infection. Cystoscopy was performed in 8 patients and determined the site of the fistula in each case. The indication for operation was the fistula itself (35%) or another complication of Crohn's disease (65%). Associated lesions were as follows: 6 entero-enteral, 2 ileogenital, 5 enterocutaneous fistulas and 6 intraabdominal abscesses. Resection of the bowel segment responsible for the fistula was performed in every case, with primary anastomosis in 9 cases and enterostomy in 8 cases. The vesical opening was excised and sutured in 10 cases and left open in 7 cases. An urethral catheter was left in place for at least 7 days. There was no postoperative death; one postoperative external vesical fistula healed without reoperation. Seven enterostomies have been closed, one is definitive. There were no late recurrences of vesical fistula.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0003-3944
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
49
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
390-5
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pubmed:dateRevised |
2009-11-11
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pubmed:meshHeading |
pubmed-meshheading:7574349-Adolescent,
pubmed-meshheading:7574349-Adult,
pubmed-meshheading:7574349-Aged,
pubmed-meshheading:7574349-Colonoscopy,
pubmed-meshheading:7574349-Crohn Disease,
pubmed-meshheading:7574349-Cystoscopy,
pubmed-meshheading:7574349-Female,
pubmed-meshheading:7574349-Humans,
pubmed-meshheading:7574349-Ileal Diseases,
pubmed-meshheading:7574349-Intestinal Fistula,
pubmed-meshheading:7574349-Male,
pubmed-meshheading:7574349-Middle Aged,
pubmed-meshheading:7574349-Sigmoid Diseases,
pubmed-meshheading:7574349-Urinary Bladder Fistula,
pubmed-meshheading:7574349-Urography
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pubmed:year |
1995
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pubmed:articleTitle |
[Enterovesical fistulas in Crohn disease: diagnosis and treatment].
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pubmed:affiliation |
Centre de Chirurgie Digestive, Hôpital Saint-Antoine, Paris.
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pubmed:publicationType |
Journal Article,
English Abstract
|