What is included in postoperative care following enterovesical fistula repair?

Updated: Dec 24, 2020
  • Author: Joseph Basler, MD, PhD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

A nasogastric tube can be left in place or the patient can continue on nothing by mouth (NPO) status until bowel function returns, depending on surgeon preference. The use of rectal stimulatory suppositories (for high nonrectal fistulae) may hasten the return of bowel function. Concomitant treatment with parenteral or low-residue enteral feeding may be appropriate. Treatment with steroids is continued in patients with Crohn disease, but slower healing of the bladder should be anticipated. Bladder drainage is continued, taking care to ensure low-pressure unobstructed urine flow.


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