OBJECTIVES: The outcome of @entity4570 management may be unsatisfactory; complications are reported in up to 45% of @entity1 . Published studies are retrospective and tend to lack standardized management strategies and long-term follow-up. This cohort study assesses a policy of resection of colovesical fistulae in continuity with any distal @entity14 , and includes 5-year follow-up. METHOD: All @entity1 undergoing surgery in our institution for @entity4570 between February 1991 and April 1995 were entered into the study. The fistulae were resected in continuity with any distal bowel stricture, according to a standard single-stage operative protocol. Postoperative mortality and morbidity were recorded, and prospective review was undertaken at April 2000. RESULTS: Nineteen consecutive @entity1 entered the study. The source of the @entity292 was @entity66 (n = 14), @entity14 (n = 3), @entity130 (n = 1) or @entity30 . Thirteen @entity1 had a @entity14 . One @entity1 died due to @entity1960 within 30 days of surgery. Eleven other @entity1 died of unrelated causes before April 2000, in whom there was no evidence of @entity292 recurrence before @entity204 at a median of 37 months after operation (range 2-95 months). At 5-year follow-up there was no evidence of @entity292 recurrence in the seven remaining @entity1 . CONCLUSIONS: A policy of resection of the @entity292 and associated @entity14 with primary bowel @entity254 and @entity1494 , resulted in no recurrences and low morbidity. However comorbidity is important in this @entity1 population, most of whom will die from unrelated causes within a few years.

Colonic resection for XXXX : 5-year follow-up.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity66 :: ('MESH:D004194', 'Disease') :: ['diverticular disease'] @entity1494 :: ('MESH:D001745', 'Disease') :: ['bladder drainage'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity1960 :: ('MESH:D003092', 'Disease') :: ['ischaemic colitis'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity14 :: ('MESH:D015179', 'Disease') :: ['colorectal stricture', 'colorectal cancer'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity30 :: ('MESH:D003424', 'Disease') :: ["Crohn's (n = 1) disease"] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma'] @entity4570 :: ('MESH:D007412', 'Disease') :: ['colovesical fistula']
@entity4570 :: (MESH:D007412,Disease) :: ['colovesical fistula']
