ORIGINAL ARTICLE   

Chirurgia 2021 October;34(5):199-203

DOI: 10.23736/S0394-9508.20.05183-9

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

Clinical data analysis of 41 patients with colonic fistula

Kaiwu XU ^{1, 2}, Guangyi LI ^{1, 2}, Tailiang LU ^{1, 2}, Zhige YU ^{1, 2}, Wei PENG ^{1, 2}, Yongqiang GONG ^{1, 2}, Chaowu CHEN ^{1, 2} ✉

¹ Department of Gastrointestinal Surgery, Hunan Provincial People’s Hospital, Changsha, China; ² The First Affiliated Hospital of Hunan Normal University, Changsha, China

BACKGROUND: To investigate the epidemiology and characteristics of patients with colonic fistula (CF) in our hospital.
METHODS: A single-center study was conducted in our hospital to collect data on patients with CFs from November 2013 to December 2019. These data included patients’ general information, common diseases and conditions, characteristics, treatments, and outcomes.
RESULTS: Patients (N.=218) with enterocutaneous fistulas were enrolled in the study, including 41 patients with CFs. Firstly, there was no difference between the colonic fistula group and other fistulas group in age, classification of fistula, the level of hospital for their first visited, whether to accept definitive surgery, cure rate, and primary disease. Furthermore, the cure rate of patients had visited secondary hospital firstly was significantly higher than that of patients had visited tertiary hospital firstly (P=0.039). Thirdly, the cure rate of patients with tumor was significantly higher than that of patients with trauma and other diseases (P=0.049).
CONCLUSIONS: The cure rate of patients with CFs was related to their first visited hospital and the primary diseases.

KEY WORDS: Fistula; Epidemiology; Surgical procedures, operative