Laser Ablation Facilitates Closure of Chronic Enterocutaneous Fistulae

Ravi N Srinivasa; Rajiv N Srinivasa; Joseph J Gemmete; Anthony N Hage; William Sherk; Jeffrey Forris Beecham Chick

doi:10.1016/j.jvir.2017.10.028

Laser Ablation Facilitates Closure of Chronic Enterocutaneous Fistulae

J Vasc Interv Radiol. 2018 Mar;29(3):335-339. doi: 10.1016/j.jvir.2017.10.028.

Authors

Ravi N Srinivasa¹, Rajiv N Srinivasa², Joseph J Gemmete², Anthony N Hage³, William Sherk², Jeffrey Forris Beecham Chick²

Affiliations

¹ Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health Systems, 1500 East Medical Center Drive, Ann Arbor, MI 48109. Electronic address: medravi@gmail.com.
² Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health Systems, 1500 East Medical Center Drive, Ann Arbor, MI 48109.
³ Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health Systems, 1500 East Medical Center Drive, Ann Arbor, MI 48109; University of Michigan Medical School, Ann Arbor, Michigan.

PMID: 29455876
DOI: 10.1016/j.jvir.2017.10.028

Abstract

This report describes the use of laser ablation for treatment of chronic enterocutaneous fistulae (ECFs) after failure of conservative therapy. Three patients underwent laser ablation for treatment of 8 ECFs. Mean duration of fistula patency was 28 months with mean fistula output of 134 mL/day. The initial technical success was 100% with no major or minor complications. Three ECFs required repeat treatment. At mean follow-up of 53 days, 7 of the fistulae were occluded. One fistula showed a markedly reduced output of 10 mL/day.

Publication types

Case Reports

MeSH terms

Chronic Disease
Female
Humans
Intestinal Fistula / diagnostic imaging
Intestinal Fistula / etiology
Intestinal Fistula / surgery*
Laser Therapy / methods*
Male
Middle Aged
Reoperation
Treatment Outcome