Conservative management of an ileal neobladder-enteric fistula.
We present a case of an early ileal neobladder-enteric fistula after radical cystectomy with Studer pouch creation for muscle-invasive transitional cell carcinoma of the bladder. This patient was treated conservatively on an outpatient basis with prolonged catheter drainage, a low-residue diet, and oral antibiotics, with complete resolution by 8 weeks. The rationale for this approach in selected patients is discussed.
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Department of Urology, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Klein
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D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002295:Carcinoma, Transitional Cell / Q000601:surgery; D015653:Cystectomy / Q000009:adverse effects*; D004322:Drainage; D006801:Humans; D007082:Ileum / Q000601:surgery; D007412:Intestinal Fistula / Q000209:etiology* / Q000628:therapy; D008297:Male; D013536:Suture Techniques / Q000009:adverse effects; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D016476:Urinary Reservoirs, Continent / Q000009:adverse effects*
D000900:Anti-Bacterial Agents