[Percutaneous treatment of fistulas and stenoses after anastomosis of the uretero-digestive tract].
14 ureteral stenoses and 5 fistulae following an uro-intestinal anastomosis (UIA) were managed by a transrenal percutaneous approach. The stenoses (12 uretero-ileal and 1 uretero-colic anastomoses) were dilated with an angioplasty balloon and stented for several weeks. After withdrawal of the stent, performed on 12 out of 14 patients, the dilatation was successful in 8/12 cases (66%), with a follow up of 3 to 36 months. All the fistulae were dried. In 2 cases, complete recovery was achieved after placement of a bilateral nephrostomy tube. In 2 other cases, the ureter was stented at the site of the fistula which dried without sequelae after withdrawal of the stent. In the last case (uretero-colic diversion) surgery was performed after the fistula dried for the cure of a complete stenosis associated with the fistulae. The use of percutaneous nephrostomy is highly recommended for the management of post-operative stenoses and fistulae before considering surgical correction.
D003106:Colon / Q000601:surgery*; D004106:Dilatation / Q000379:methods; D006801:Humans; D007082:Ileum / Q000601:surgery*; D011183:Postoperative Complications; D014513:Ureter / Q000601:surgery*; D014517:Ureteral Obstruction / Q000209:etiology / Q000628:therapy*; D014547:Urinary Diversion / Q000009:adverse effects*; D014548:Urinary Fistula / Q000209:etiology / Q000628:therapy*
Traitement par voie percutanée des fistules et des sténoses aprés anastomose urétéro-digestive.