TY - JOUR
T1 - The use of latex catheters to close enterocutaneous fistulas
T2 - An institutional protocol and retrospective review
AU - Young, Shamar
AU - D'Souza, Donna
AU - Hunter, David
AU - Golzarian, Jafar
AU - Rosenberg, Michael
N1 - Publisher Copyright:
© American Roentgen Ray Society.
PY - 2017/6
Y1 - 2017/6
N2 - OBJECTIVE. The objective of our study was to retrospectively review an institutional protocol that uses latex catheters for the treatment of enterocutaneous fistulas (ECFs) that are resistant to simple drainage. MATERIALS AND METHODS. Forty-six consecutive patients with ECFs that did not close with simple abscess drainage were treated with latex catheters. These patients' charts were retrospectively reviewed to determine treatment success rates and the relationship of treatment success to clinical characteristics. RESULTS. ECFs in 26 of the 46 (56.5%) patients were treated successfully with latex catheters. On univariate analysis, the fistulas that originated from the stomach were statistically less likely to close (p = 0.03), whereas those originating from the small bowel were more likely to close (p = 0.01). The duration of treatment was significantly longer in patients for whom the treatment failed than in those who were successfully treated (p = 0.003). After a total treatment time of more than 116 days (odds ratio [OR], 9.8 [95% CI, 2.5-38.4]; p = 0.001) or latex catheter treatment time of more than 74 days (OR, 8.9 [95% CI, 2.2-35.0]; p = 0.002), the chance of ECF closure decreased significantly. CONCLUSION. Treatment of ECFs that are resistant to simple abscess cavity drainage with a latex catheter is possible and decreases the need for surgery.
AB - OBJECTIVE. The objective of our study was to retrospectively review an institutional protocol that uses latex catheters for the treatment of enterocutaneous fistulas (ECFs) that are resistant to simple drainage. MATERIALS AND METHODS. Forty-six consecutive patients with ECFs that did not close with simple abscess drainage were treated with latex catheters. These patients' charts were retrospectively reviewed to determine treatment success rates and the relationship of treatment success to clinical characteristics. RESULTS. ECFs in 26 of the 46 (56.5%) patients were treated successfully with latex catheters. On univariate analysis, the fistulas that originated from the stomach were statistically less likely to close (p = 0.03), whereas those originating from the small bowel were more likely to close (p = 0.01). The duration of treatment was significantly longer in patients for whom the treatment failed than in those who were successfully treated (p = 0.003). After a total treatment time of more than 116 days (odds ratio [OR], 9.8 [95% CI, 2.5-38.4]; p = 0.001) or latex catheter treatment time of more than 74 days (OR, 8.9 [95% CI, 2.2-35.0]; p = 0.002), the chance of ECF closure decreased significantly. CONCLUSION. Treatment of ECFs that are resistant to simple abscess cavity drainage with a latex catheter is possible and decreases the need for surgery.
KW - Closure
KW - Enterocutaneous fistula
KW - Latex catheter
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U2 - 10.2214/AJR.16.17294
DO - 10.2214/AJR.16.17294
M3 - Review article
C2 - 28301212
AN - SCOPUS:85019854783
SN - 0361-803X
VL - 208
SP - 1373
EP - 1377
JO - American Journal of Roentgenology
JF - American Journal of Roentgenology
IS - 6
ER -