OBJECTIVES: The goal of this study was to assess the efficacy of minimally invasive interventional radiologic (IR) techniques in the management of uretero-enteric fistulae in comparison to established surgical modalities. MATERIALS AND METHODS: Twenty-five @entity1 (16 @entity1 , 9 @entity1 ) with a mean age of 47 (range: 19-77 years) with uretero-enteric fistulae were treated with percutaneous nephrostomy, double "J" stent, radiologic uretero-neocystostomy, and radiologic uretero-pyelocalicostomy. All @entity1 had a single @entity292 each. Uretero-enteric @entity292 were due to direct or iatrogenic @entity130 in 14 @entity1 (uretero-ileal @entity292 , n=6; uretero-colonic @entity292 , n=4; uretero-duodenal @entity292 , n=2; uretero-pancreatic @entity292 , n=1; uretero-fallopian tube, n=1), complications of @entity530 in 4 @entity1 (uretero-sigmoid @entity292 , n=4), @entity32 in 4 @entity1 (uretero-ileal @entity292 , n=2; uretero-sigmoid @entity292 , n=2), and @entity2530 of renal transplants in 3 @entity1 (uretero-sigmoid @entity292 , n=3). RESULTS: Drainage by percutaneous nephrostomy and double "J" stent resulted in closure of 8 uretero-enteric fistulae over 7-16 weeks. Four uretero-enteric fistulae obliterated after re-routing urine flow using 3 radiologic uretero-neocystostomies and one IR pyelocalicostomy. In other @entity1 , flow through the fistulae was substantially decreased by five double "J" stents and 3 percutaneous nephrostomies. The duration of inpatient hospitalization was significantly less for @entity1 managed successfully by IR procedures than those treated by surgical modalities, 5.07 versus 10.5 days mean (P<0.05). CONCLUSIONS: IR procedures provided definitive treatment in 48% of uretero-enteric fistulae at significantly reduced inpatient hospitalization and cost. As palliative treatment, it improved the quality of life.

Minimally invasive radiologic techniques in the treatment of uretero-enteric XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'men'] @entity32 :: ('MESH:D007249', 'Disease') :: ['inflammatory disease'] @entity530 :: ('MESH:D010386', 'Disease') :: ['pelvic neoplasms'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula', 'fistulas'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma'] @entity2530 :: ('MESH:D010020', 'Disease') :: ['avascular necrosis']
@entity292 :: (MESH:D005402,Disease) :: ['fistulas']
