| Title: | Colorectal-vaginal fistula after rectal cancer resection : international comparative cohort study of characteristics and treatment |
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| Authors: | ID Van Lieshout, Mila L. (Author)
ID Lemmens, Jobbe M. G. (Author)
ID Greijdanus, Nynke G. (Author)
ID Wienholts, Kiedo (Author)
ID Košir, Jurij Aleš (Research coworker)
ID Tomažič, Aleš (Research coworker)
ID Grosek, Jan (Research coworker)
ID Košir Božič, Tajda (Research coworker), et al. |
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| Files: |  PDF - Presentation file, download (339,42 KB)
MD5: 47543E7BE8CE60DC1D8EF4FF21820E62
 URL - Source URL, visit https://academic.oup.com/bjs/article/112/11/znaf189/8326593
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| Language: | English |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: |  UKC LJ - Ljubljana University Medical Centre
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| Abstract: | A colorectal-vaginal fistula (CRVF) can occur as a complication of rectal cancer surgery. They can cause discomfort, repeated infection, need for treatment/further surgery, and a permanent stoma (an opening in the abdomen to collect bowel contents). This study looked at how often CRVF happened after surgery complicated by a leak where bowels ends have been joined together, how they were treated, and how likely patients were to live without a stoma 1 year after surgery. Researchers collected data on women from around the world who had rectal cancer surgery between 2014 and 2018 and developed a bowel leak (called anastomotic leakage). They compared those with and without a CRVF. A total of 88 out of 694 patients (12.7%) developed a CRVF. These patients more often had major surgery involving removal of nearby organs, including part of the vagina. They were more likely to have ongoing problems and needed more surgeries to manage them. Most had a temporary stoma, but only 29.5% could live without it after 1 year, compared with 48.7% of women without CRVF. CRVF is a serious complication that makes recovery harder. These patients are less likely to live without a stoma and usually need more surgery. However, if the leak is small, the chances of recovery without a permanent stoma are better. |
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| Keywords: | rectal fistula, rectal cancer, rectal resections, postoperative complications, anastomotic leak |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Year of publishing: | 2025 |
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| Number of pages: | str. 1-9 |
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| Numbering: | Vol. 12, issue 11 |
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| PID: | 20.500.12556/DiRROS-24955  |
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| UDC: | 616-089:616-006 |
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| ISSN on article: | 1365-2168 |
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| DOI: | 10.1093/bjs/znaf189 |
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| COBISS.SI-ID: | 258446851 |
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| Note: | Nasl. z nasl. zaslona;
Opis vira z dne 24. 11. 2025;
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| Publication date in DiRROS: | 05.01.2026 |
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| Views: | 254 |
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| Downloads: | 67 |
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