Table 7

The incidence of postoperative fistulae in patients undergoing surgery of the intestine, jejunum, ileum, colon or rectum

OrganPathologyProcedureComplications (%)Fistula rate (%)Mortality (%)
ND, no data.
IntestineMixedEmergency anastomosis34112 3112 3112
MixedElective anastomosis20112 2112 4112
Gynaecological cancerMixed operations31102 6102 6102
JejunumMixedUpper GI surgery with jejunojejunostomy26113 0113 6113
IleumDerivative ileostomyClosure ileostomy1296 696 096
Crohn's diseasePrimary ileal, ileocolonic, and eventual rectal surgery1197 297 197
Crohn's disease+ enterovesical fistulaPrimary ileal, ileocolonic, and eventual rectal surgery 692 292 292
Crohn's disease with fistulasPrimary ileal, ileocolonic, and eventual rectal surgery1598 498 098
Crohn's disease + enterovesical fistulaIleal+eventual sigmoid resection1399 199 099
ColonMainly cancerElective colectomy 9114 5114 5114
Cancer (obstructive)Emergency subtotal colectomy20103 0103 9103
Cancer (obstructive)Emergency left colectomy5210316103 3103
DiverticulitisEmergency left colectomy42100 3100 3100
IBDElective total colectomy27101 4101 0101
CancerElective left colectomy27104 35105 1105 5104 1105 7104
Cancer (obstructive)Emergency left colectomyND 4 (1–7)95,106–110 6 (2–17)95,106–110
Diverticular diseaseColocolostomy (after Hartman resection)6993 3193 393
CancerEmergency colectomy41111 411114111
Diverticulitis with fistulasElective colectomy3129 029 029
RectumRectal cancerProctectomy30115 43116h1115 12116 1116 3115
Ulcerative colitis, polyposis coliProctectomy with ileoanal anastomosis56941994 094
Ulcerative colitis, polyposis coliProctectomy with Pouch reconstruction42961896 096