Lege Artis Medicinae

[The intestinovesical fistulas - diagnosis and surgical treatment]

NAGY Ferenc1, MAGYARSÓKI Ferenc1, MÁTYUS Lajos2, VARGA Tibor2, JANKOVICH Mihály2

DECEMBER 29, 1993

Lege Artis Medicinae - 1993;3(12)

[The authors present a literature review and summary about vesicoin testinal fistulas. They report their diagnostic and treatment experience in 10 cases of vesicointestinal fistula. The patients having been operated for inflammatory fistulas were healed except one case, and the patients having got a tumor died of the malignant progression. Symptoms of fistulas are various. In the diagnosis urography was helpful, cystography and cystoscopy allowed the observation of a fistulous orifice, while barium enema confirmed or removed probable doubts about the nature of the intestinal pathology. Patients with intestinovesical fistulas are usually treated by operation. The authors suggest primer radical surgery for treatment.]

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  1. Urológiai Osztály Vaszary Kolos Kórház Esztergom
  2. Sebészeti Osztály Vaszary Kolos Kórház Esztergom

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[ From 1980 to 1991, 1379 women with abnormal colposcopic and/or cytologic findings were examined at the Department of Gynecological Oncology at the National Institute of Oncology, Budapest. The sensitivity and specificity of these screening tests were studied retrospectively. All women underwent either cervical excision or conisation. Cytological and colposcopical findings were compared with the histological findings. Sensitivity and specificity of cytology were 49% and 77%, retrospectively. The corresponding figures for colposcopy were 88% and 12%, and for cytology and colposcopy together, 96% and 14%. 1. The low sensitivity of cytology suggests that as many as 50% of CIN lesions will be missed if cytology alone is used for screening. This finding probably justifies our screening policy (i. e., colposcopy should be used as a primary tool). 2. We found 194 asymptomatic patients with carcinoma in situ, 40 with microinvasive and 8 with frank invasive carcinoma. This finding emphasizes the importance of cervical cancer screening. 3. To decrease the false positive and negative rates, the introduction of new scientific results into the every day screening practice is urgently needed. 4. Our data suggest the superiority of a colposcopical screening method to a cytological one; however histological examination must be done independently of a screening method if the suspicion of cervical dysplasia arises. ]

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