Endoscopic management of colovaginal fistulas in advanced cancer patients
Background and Aims: Colovaginal fistula (CVF) in cancer patients can cause significant morbidity. In addition to causing local symptoms and infections, the constant stool leakage contributes to a poor quality of life, psychological distress, and possible social isolation. Patients with CVFs often h...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-06-01
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| Series: | VideoGIE |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468448119300517 |
| _version_ | 1827877635524395008 |
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| author | Ali Alshati, MD Mays Almohammedawi, MBChB Mankanwal S. Sachdev, MD, FASGE Toufic Kachaamy, MD |
| author_facet | Ali Alshati, MD Mays Almohammedawi, MBChB Mankanwal S. Sachdev, MD, FASGE Toufic Kachaamy, MD |
| author_sort | Ali Alshati, MD |
| collection | DOAJ |
| description | Background and Aims: Colovaginal fistula (CVF) in cancer patients can cause significant morbidity. In addition to causing local symptoms and infections, the constant stool leakage contributes to a poor quality of life, psychological distress, and possible social isolation. Patients with CVFs often have advanced disease, poor nutrition, and complex anatomy, making them poor candidates for major surgical interventions. Advancement in endoscopic tools has made endoscopic management possible. Endoscopic management is less invasive, is associated with prompt recovery, and can significantly improve the quality of life of patients and possibly allow them to resume systemic therapy. Methods: In this video case series, 3 cases of CVF patients treated endoscopically are presented to demonstrate the use of the currently available tools and techniques. The strategy used for the closure of the 3 CVFs was dependent on the size and etiology of the fistulas. Results: Technical and clinical success was achieved in all 3 situations. There were no procedure-related adverse events. Conclusion: These cases demonstrate the use of the cap to perform vaginal endoscopy; the use of the over-the-scope clips, covered stents, and endoscopic suturing; and how they can facilitate the closure of fistulas in patients who are poor surgical candidates. |
| first_indexed | 2024-03-12T17:39:24Z |
| format | Article |
| id | doaj.art-1724eff61adb4e2eafc39c8584e45cc4 |
| institution | Directory Open Access Journal |
| issn | 2468-4481 |
| language | English |
| last_indexed | 2024-03-12T17:39:24Z |
| publishDate | 2019-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | VideoGIE |
| spelling | doaj.art-1724eff61adb4e2eafc39c8584e45cc42023-08-04T05:49:31ZengElsevierVideoGIE2468-44812019-06-0146279283Endoscopic management of colovaginal fistulas in advanced cancer patientsAli Alshati, MD0Mays Almohammedawi, MBChB1Mankanwal S. Sachdev, MD, FASGE2Toufic Kachaamy, MD3Department of Internal Medicine, Maricopa Integrated Health System, Creighton University, Phoenix, Arizona, USABaghdad University, College of Medicine, Baghdad, IraqArizona Center for Digestive Health, Gilbert, Arizona, USADepartment of Gastroenterology and Advanced Endoscopy, Western Regional Medical Center, Cancer Treatment Centers of America, Goodyear, Arizona, USABackground and Aims: Colovaginal fistula (CVF) in cancer patients can cause significant morbidity. In addition to causing local symptoms and infections, the constant stool leakage contributes to a poor quality of life, psychological distress, and possible social isolation. Patients with CVFs often have advanced disease, poor nutrition, and complex anatomy, making them poor candidates for major surgical interventions. Advancement in endoscopic tools has made endoscopic management possible. Endoscopic management is less invasive, is associated with prompt recovery, and can significantly improve the quality of life of patients and possibly allow them to resume systemic therapy. Methods: In this video case series, 3 cases of CVF patients treated endoscopically are presented to demonstrate the use of the currently available tools and techniques. The strategy used for the closure of the 3 CVFs was dependent on the size and etiology of the fistulas. Results: Technical and clinical success was achieved in all 3 situations. There were no procedure-related adverse events. Conclusion: These cases demonstrate the use of the cap to perform vaginal endoscopy; the use of the over-the-scope clips, covered stents, and endoscopic suturing; and how they can facilitate the closure of fistulas in patients who are poor surgical candidates.http://www.sciencedirect.com/science/article/pii/S2468448119300517 |
| spellingShingle | Ali Alshati, MD Mays Almohammedawi, MBChB Mankanwal S. Sachdev, MD, FASGE Toufic Kachaamy, MD Endoscopic management of colovaginal fistulas in advanced cancer patients VideoGIE |
| title | Endoscopic management of colovaginal fistulas in advanced cancer patients |
| title_full | Endoscopic management of colovaginal fistulas in advanced cancer patients |
| title_fullStr | Endoscopic management of colovaginal fistulas in advanced cancer patients |
| title_full_unstemmed | Endoscopic management of colovaginal fistulas in advanced cancer patients |
| title_short | Endoscopic management of colovaginal fistulas in advanced cancer patients |
| title_sort | endoscopic management of colovaginal fistulas in advanced cancer patients |
| url | http://www.sciencedirect.com/science/article/pii/S2468448119300517 |
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