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Rectovaginal fistula after low anterior resection for rectal cancer healed by nonoperative treatment

BACKGROUND: Rectovaginal fistula (RVF) is a serious complication after colorectal anastomosis using a double-stapling technique. RVF following this procedure has been considered to be refractory to conservative treatment. CASE PRESENTATION: A 75-year-old woman who underwent laparoscopy-assisted low...

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Autores principales: Emoto, Shigenobu, Nozawa, Hiroaki, Yoneyama, Satomi, Murono, Koji, Kaneko, Manabu, Sasaki, Kazuhito, Otani, Kensuke, Nishikawa, Takeshi, Tanaka, Toshiaki, Hata, Keisuke, Kiyomatsu, Tomomichi, Kawai, Kazushige, Omata, Kanako, Noguchi, Tatsuki, Masuda, Koichi, Sakata, Hiroki, Tajima, Yusuke, Hidemura, Akio, Suzuki, Hiroyuki, Ishimaru, Masahiro, Watanabe, Toshiaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5655408/
https://www.ncbi.nlm.nih.gov/pubmed/29073547
http://dx.doi.org/10.1016/j.ijscr.2017.10.019
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author Emoto, Shigenobu
Nozawa, Hiroaki
Yoneyama, Satomi
Murono, Koji
Kaneko, Manabu
Sasaki, Kazuhito
Otani, Kensuke
Nishikawa, Takeshi
Tanaka, Toshiaki
Hata, Keisuke
Kiyomatsu, Tomomichi
Kawai, Kazushige
Omata, Kanako
Noguchi, Tatsuki
Masuda, Koichi
Sakata, Hiroki
Tajima, Yusuke
Hidemura, Akio
Suzuki, Hiroyuki
Ishimaru, Masahiro
Watanabe, Toshiaki
author_facet Emoto, Shigenobu
Nozawa, Hiroaki
Yoneyama, Satomi
Murono, Koji
Kaneko, Manabu
Sasaki, Kazuhito
Otani, Kensuke
Nishikawa, Takeshi
Tanaka, Toshiaki
Hata, Keisuke
Kiyomatsu, Tomomichi
Kawai, Kazushige
Omata, Kanako
Noguchi, Tatsuki
Masuda, Koichi
Sakata, Hiroki
Tajima, Yusuke
Hidemura, Akio
Suzuki, Hiroyuki
Ishimaru, Masahiro
Watanabe, Toshiaki
author_sort Emoto, Shigenobu
collection PubMed
description BACKGROUND: Rectovaginal fistula (RVF) is a serious complication after colorectal anastomosis using a double-stapling technique. RVF following this procedure has been considered to be refractory to conservative treatment. CASE PRESENTATION: A 75-year-old woman who underwent laparoscopy-assisted low anterior resection for early rectal cancer developed RVF on the 12th postoperative day. Conservative treatment was chosen and was successful. She was discharged from the hospital after 3 weeks with a normal oral diet. Colonoscopy on the 50th postoperative day showed that the RVF was closed. CONCLUSION: Conservative treatment may be effective for RVF after colorectal anastomosis using a double-stapling technique when there is no evidence of defecation through the vagina.
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spelling pubmed-56554082017-10-30 Rectovaginal fistula after low anterior resection for rectal cancer healed by nonoperative treatment Emoto, Shigenobu Nozawa, Hiroaki Yoneyama, Satomi Murono, Koji Kaneko, Manabu Sasaki, Kazuhito Otani, Kensuke Nishikawa, Takeshi Tanaka, Toshiaki Hata, Keisuke Kiyomatsu, Tomomichi Kawai, Kazushige Omata, Kanako Noguchi, Tatsuki Masuda, Koichi Sakata, Hiroki Tajima, Yusuke Hidemura, Akio Suzuki, Hiroyuki Ishimaru, Masahiro Watanabe, Toshiaki Int J Surg Case Rep Article BACKGROUND: Rectovaginal fistula (RVF) is a serious complication after colorectal anastomosis using a double-stapling technique. RVF following this procedure has been considered to be refractory to conservative treatment. CASE PRESENTATION: A 75-year-old woman who underwent laparoscopy-assisted low anterior resection for early rectal cancer developed RVF on the 12th postoperative day. Conservative treatment was chosen and was successful. She was discharged from the hospital after 3 weeks with a normal oral diet. Colonoscopy on the 50th postoperative day showed that the RVF was closed. CONCLUSION: Conservative treatment may be effective for RVF after colorectal anastomosis using a double-stapling technique when there is no evidence of defecation through the vagina. Elsevier 2017-10-18 /pmc/articles/PMC5655408/ /pubmed/29073547 http://dx.doi.org/10.1016/j.ijscr.2017.10.019 Text en © 2017 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Emoto, Shigenobu
Nozawa, Hiroaki
Yoneyama, Satomi
Murono, Koji
Kaneko, Manabu
Sasaki, Kazuhito
Otani, Kensuke
Nishikawa, Takeshi
Tanaka, Toshiaki
Hata, Keisuke
Kiyomatsu, Tomomichi
Kawai, Kazushige
Omata, Kanako
Noguchi, Tatsuki
Masuda, Koichi
Sakata, Hiroki
Tajima, Yusuke
Hidemura, Akio
Suzuki, Hiroyuki
Ishimaru, Masahiro
Watanabe, Toshiaki
Rectovaginal fistula after low anterior resection for rectal cancer healed by nonoperative treatment
title Rectovaginal fistula after low anterior resection for rectal cancer healed by nonoperative treatment
title_full Rectovaginal fistula after low anterior resection for rectal cancer healed by nonoperative treatment
title_fullStr Rectovaginal fistula after low anterior resection for rectal cancer healed by nonoperative treatment
title_full_unstemmed Rectovaginal fistula after low anterior resection for rectal cancer healed by nonoperative treatment
title_short Rectovaginal fistula after low anterior resection for rectal cancer healed by nonoperative treatment
title_sort rectovaginal fistula after low anterior resection for rectal cancer healed by nonoperative treatment
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5655408/
https://www.ncbi.nlm.nih.gov/pubmed/29073547
http://dx.doi.org/10.1016/j.ijscr.2017.10.019
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