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A case of entero-cutaneous and vesico-enteral fistula due to radiation for uterine cervical carcinoma

Journal Article:

Abstract

Late-phase complications of the intestinal and the urinary tracts due to radiation therapy are very difficult to manage, and ensuing fistulation sometimes necessitates surgrey. We report excellent surgical results for a fistula incuded by radiation therapy in a 61-years-old woman. There were previous histories of receiving combined surgical and radiation (up to 10,000 rad) therapy for a uterine cervical carcinoma at another hospital in 1990, and undergoing several surgical treatments for the consequenct vesico-enteral and vesico-colic fistulas. In January, 1993, the patient was admitted to the department of urology of this hospital because of an abdominal pain, and was transferred to the department under a diagnosis of entero-cutaneous and vesico-enteral fistulas. After local sump suction and skin care, resection of the fistula and involved small intestine conserving the urinary tract was performed, and the omentum was transferred to the resected space. Cholecystectomy was carried out for cholelithiasis. Histological studies revealed atrophy in the mucosal layer and edema in the submucosal layer. Her postoperative course has been satisfactory without any signs of fistulation as of one year after the operation. (author).
Authors:
Iwakawa, Kazuhide; Kadota, Takeshi; Kobayashi, Nobuaki; [1]  Ohnishi, Goro
  1. Ehime Univ., Shigenobu (Japan). School of Medicine
Publication Date:
Nov 01, 1994
Product Type:
Journal Article
Reference Number:
SCA: 560151; PA: JPN-95:002369; EDB-95:060176; SN: 95001365039
Resource Relation:
Journal Name: Nippon Rinsho Geka Igakkai Zasshi; Journal Volume: 55; Journal Issue: 11; Other Information: PBD: Nov 1994
Subject:
56 BIOLOGY AND MEDICINE, APPLIED STUDIES; BLADDER; RADIATION INJURIES; SMALL INTESTINE; UTERUS; RADIOTHERAPY; SKIN; DELAYED RADIATION EFFECTS; PATIENTS; CARCINOMAS; SURGERY
OSTI ID:
25771
Research Organizations:
No corporate text available (Country unknown/Code not available)
Country of Origin:
Japan
Language:
Japanese
Other Identifying Numbers:
Journal ID: NRIZA5; ISSN 0386-9776; TRN: JP9502369
Submitting Site:
JPN
Size:
pp. 2943-2947
Announcement Date:

Journal Article:

Citation Formats

Iwakawa, Kazuhide, Kadota, Takeshi, Kobayashi, Nobuaki, and Ohnishi, Goro. A case of entero-cutaneous and vesico-enteral fistula due to radiation for uterine cervical carcinoma. Japan: N. p., 1994. Web.
Iwakawa, Kazuhide, Kadota, Takeshi, Kobayashi, Nobuaki, & Ohnishi, Goro. A case of entero-cutaneous and vesico-enteral fistula due to radiation for uterine cervical carcinoma. Japan.
Iwakawa, Kazuhide, Kadota, Takeshi, Kobayashi, Nobuaki, and Ohnishi, Goro. 1994. "A case of entero-cutaneous and vesico-enteral fistula due to radiation for uterine cervical carcinoma." Japan.
@misc{etde_25771,
title = {A case of entero-cutaneous and vesico-enteral fistula due to radiation for uterine cervical carcinoma}
author = {Iwakawa, Kazuhide, Kadota, Takeshi, Kobayashi, Nobuaki, and Ohnishi, Goro}
abstractNote = {Late-phase complications of the intestinal and the urinary tracts due to radiation therapy are very difficult to manage, and ensuing fistulation sometimes necessitates surgrey. We report excellent surgical results for a fistula incuded by radiation therapy in a 61-years-old woman. There were previous histories of receiving combined surgical and radiation (up to 10,000 rad) therapy for a uterine cervical carcinoma at another hospital in 1990, and undergoing several surgical treatments for the consequenct vesico-enteral and vesico-colic fistulas. In January, 1993, the patient was admitted to the department of urology of this hospital because of an abdominal pain, and was transferred to the department under a diagnosis of entero-cutaneous and vesico-enteral fistulas. After local sump suction and skin care, resection of the fistula and involved small intestine conserving the urinary tract was performed, and the omentum was transferred to the resected space. Cholecystectomy was carried out for cholelithiasis. Histological studies revealed atrophy in the mucosal layer and edema in the submucosal layer. Her postoperative course has been satisfactory without any signs of fistulation as of one year after the operation. (author).}
journal = {Nippon Rinsho Geka Igakkai Zasshi}
issue = {11}
volume = {55}
journal type = {AC}
place = {Japan}
year = {1994}
month = {Nov}
}