Abstract
Fistulous complication that arise from ileal conduit creation is a rare complication. Conservative or less invasive approved often become initial approach taking account patient previous major abdominal or pelvis injury as surgical repair carry high risk of morbidity. In view of the rarity of the case, there are no standardize guideline for the management of the ileal conduit fistula. Here we present a case of ileal conduit rectal fistula that successfully manage endoscopically using over-the-scope-clip (OTCS)
References
Smith, Z. L., Johnson, S. C., Golan, S., McGinnis, J. R., Steinberg, G. D., & Smith, N. D. (2018). Fistulous Complications following Radical Cystectomy for Bladder Cancer: Analysis of a Large Modern Cohort. The Journal of urology, 199(3), 663–668. https://doi.org/10.1016/j.juro.2017.08.095
Chowdhury, M.L., Shen, A., Palmer, C. et al. Workup and conservative management of ileal conduit-vaginal fistulas: review of literature. Int Urogynecol J 31, 1377–1379 (2020). https://doi.org/10.1007/s00192-019-04143-0
Gilbert SM, Lai J, Saigal CS, et al. Downstream complications
following urinary diversion. J Urol. 2013;190(3):916–22. https://
doi.org/10.1016/j.juro.2013.03.026.
Ye, Y., Liang, H., Tan, L. et al. Conservative treatment for urinary fistula following ileal conduit urinary diversion: a simple method. BMC Urol 19, 131 (2019). https://doi.org/10.1186/s12894-019-0564-3
Falconi, M., & Pederzoli, P. (2001). The relevance of gastrointestinal fistulae in clinical practice: a review. Gut, 49 Suppl 4(Suppl 4), iv2–iv10. https://doi.org/10.1136/gut.49.suppl_4.iv2
Msezane, L., Reynolds, W. S., Mhapsekar, R., Gerber, G., & Steinberg, G. (2008). Open surgical repair of ureteral strictures and fistulas following radical cystectomy and urinary diversion. The Journal of urology, 179(4), 1428–1431. https://doi.org/10.1016/j.juro.2007.11.083
Olson, L., Satherley, H., Cleaveland, P., Zelhof, B., Mokete, M., Neilson, D., & Srirangam, S. (2017). Retrograde Endourological Management of Upper Urinary Tract Abnormalities in Patients with Ileal Conduit Urinary Diversion: A Dual-Center Experience. Journal of endourology, 31(9), 841–846. https://doi.org/10.1089/end.2017.0271
Stuurman RE, Al-Qahtani SM, Cornu JN, Traxer O. Antegrade percutaneous flexible endoscopic approach for the management of urinary diversion-associated complications. Journal of Endourology. 2013 Nov;27(11):1330-1334. DOI: 10.1089/end.2012.0371.
Stovsky, M. D., Ignatoff, J. M., Blum, M. D., Nanninga, J. B., O'Conor, V. J., & Kursh, E. D. (1994). Use of electrocoagulation in the treatment of vesicovaginal fistulas. The Journal of urology, 152(5 Pt 1), 1443–1444. https://doi.org/10.1016/s0022-5347(17)32441-2
Kobara, H., Mori, H., Nishiyama, N., Fujihara, S., Okano, K., Suzuki, Y., & Masaki, T. (2019). Over-the-scope clip system: A review of 1517 cases over 9 years. Journal of gastroenterology and hepatology, 34(1), 22–30. https://doi.org/10.1111/jgh.14402
Kothari, T. H., Haber, G., Sonpal, N., & Karanth, N. (2012). The over-the-scope clip system--a novel technique for gastrocutaneous fistula closure: the first North American experience. Canadian journal of gastroenterology = Journal canadien de gastroenterologie, 26(4), 193–195. https://doi.org/10.1155/2012/452340
Schiergens, T. S., Becker, C. C., Weber, P., Sint, A., Albertsmeier, M., Renz, B. W., Burian, M., Kleespies, A., Reichelt, A., Guba, M. O., Rentsch, M., Werner, J., & Schneider, C. P. (2018). Over-the-scope clip (OTSC®) closure of a recto-acetabular fistula. Journal of surgical case reports, 2018(4), rjy074. https://doi.org/10.1093/jscr/rjy074
Schmidt, A., Gölder, S., Goetz, M., Meining, A., Lau, J., von Delius, S., Escher, M., Hoffmann, A., Wiest, R., Messmann, H., Kratt, T., Walter, B., Bettinger, D., & Caca, K. (2018). Over-the-Scope Clips Are More Effective Than Standard Endoscopic Therapy for Patients With Recurrent Bleeding of Peptic Ulcers. Gastroenterology, 155(3), 674–686.e6. https://doi.org/10.1053/j.gastro.2018.05.037
Zhong, C., Tan, S., Ren, Y. et al. Clinical outcomes of over-the-scope-clip system for the treatment of acute upper non-variceal gastrointestinal bleeding: a systematic review and meta-analysis. BMC Gastroenterol 19, 225 (2019). https://doi.org/10.1186/s12876-019-1144-4
Albert, J. G., Friedrich-Rust, M., Woeste, G., Strey, C., Bechstein, W. O., Zeuzem, S., & Sarrazin, C. (2011). Benefit of a clipping device in use in intestinal bleeding and intestinal leakage. Gastrointestinal endoscopy, 74(2), 389–397. https://doi.org/10.1016/j.gie.2011.03.1128
Baron TH, Song LM, Ross A, Tokar JL, Irani S, Kozarek RA. Use of an over-the-scope clipping device: multicenter retrospective results of the first U.S. experience (with videos). Gastrointest Endosc. 2012;76(1):202-208. doi:10.1016/j.gie.2012.03.250
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