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Doctor insights on: Adhesions And Fistulas

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Are a fistula and an adhesion the same thing?

Are a fistula and an adhesion the same thing?

No.: Fistula is an abnormal connection between two hollow organs, such as intestines or bladder. An adhesion is merely a scar. ...Read more

Dr. Mark Aranson
307 Doctors shared insights

Adhesions (Definition)

Adhesions are scar tissue which can form after any abdominal surgery. The severity depends on whether infection/inflammation was present at the time of surgery. Adhesions are like bands or spider webs that form around the abdominal organs/intestines. Sometimes adhesions are light and cause no problems, sometimes tremendous problems, like crazy glue in the abdomen. Can ...Read more


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Are av fistulas permanent?

Are av fistulas permanent?

Don't have to be: It takes a surgical procedure to connect the end if a vein to the side of an artery (create an av fistula). Once created, it will take another surgical procedure to shut the fistula down if need be. Most often they are kept in place even if not used as a back-up system for dialysis access. ...Read more

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What exactly is a fistula?

What exactly is a fistula?

Abnormal Connection: An abnormal connection between to organs or vessels. Example: entero-cutaneous fistula- an connection between the bowel and the skin. These are typically caused by diseases of the bowel. Example: arterio-venous fistula- a connection between an artery and a vein. These are created surgically to provide dialysis. ...Read more

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What are other kinds of fistula?

Innumerable: There are dozens of different kinds. A fistula is basically an abnormal connection between parts of the body. You can have fistulas between the arteries & veins, small bowel & colon, intestine & bladder, bowel & vagina, lungs & bile ducts, stomach & lungs, esophagus & trachea.... I think you get the idea. ...Read more

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How is a fistula generally treated?

Depends on the cause: Fistulae caused by Crohn's disease can be treated with medications such as remcade. Others often require surgery or occasionally can be treated by injection with fibrin glue. ...Read more

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What sort of problem is an adhesion?

What sort of problem is an adhesion?

Scar tissue: An adhesion usually describes scar tissue surrounding the organs. Often caused by infection, trauma or surgery. If an adhesion pinches off the bowel it can cause obstruction and bowel death. Adhesions make surgery very difficult because they are tough and prevent structures from being moved. They generally look like thick cobwebs. ...Read more

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What exactly is tendon adhesion?

What exactly is tendon adhesion?

Tendon sheath adhesi: When tendons cross over joints they pass through a fibrous tunnel to anchor them down. Some times an inflammatory process affects these tunnels and cause adhesions, which keep the tendon from gliding freely ...Read more

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What is anus fistula and what are its causes?

What is anus fistula and what are its causes?

Tract: A fistula involving the anus or rectum is a pathologic communication, tract or conduit between two anatomic structures or organs caused by infection or inflammation. The tract can drain pus if it leads to an abscess. Crohn's disease is a common cause of ano-rectal fistulae. ...Read more

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What is an enteroenteric fistula? What causes it?

Fistula: Entero-enteric fistula is an abnormal communication between two loops of bowel. Usually caused by diseases such as Crohn's disease, diverticulitis, cancer, etc. I hope this helps. All best! ...Read more

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What is a dental fistula?

What is a dental fistula?

Natural Drainage: A fistula is the body's mechanism to drain an infection. It appears as a hole/pimple above or in the area of an infection. They are not only found in the mouth, but are most commonly detected in the oral cavity. Your dentist has techniques that allow them to tract the fistula channel to discover the source of the infection and recommend treatment. If present, seek care ASAP. ...Read more

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Why is my av fistula ugly?

Chronic use: Av fistulas tend to become dilated with use and time, and the access into the fistula should be rotated in different sites. The fistulas are close to the skin, and the majority are prominent, and there is no way to get around this. ...Read more

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What can pelvic adhesions cause?

What can pelvic adhesions cause?

Obstruction, Pain: As a general surgeon, I am called frequently to care for people whose small intestine has become twisted on itself due to adhesions from prior abdominal surgery (sbo-small bowel obstruction). Often, this will correct itself with in-patient mgmt, but it occasionally requires surgery. My gynecology colleagues care for many patients with pelvic pain presumed to be due to adhesions to the ovaries. ...Read more

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What are fistulas and abscesses?

What are fistulas and abscesses?

Related: There are glands located around the anal canal with ducts draining into the canal. These glands can become infected. When this happens, an abscess developes. Abscesses enlarge and gradually burrow their way to the surface and are either drained by a physician or drain spontaneously. About 50% of the time, the resulting tunnel from the anal canal to the skin persists as a fistula. ...Read more

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What is a recto-sigmoid fistula?

AN ABNORMAL: Communication between the rectum and sigmoid colon usually due to infection/inflammation or cancer. Rather unusual type of fistula. ...Read more

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Is a dental fistula an emergency?

Is a dental fistula an emergency?

The term Emergency: Is a relative one. I would not put it in the same class as a cardiac arrest. Having said that, all infections mandate immediate attention and appropriate treatment as they can cause serious complications, spread to other parts of your body and are potentially fatal. ...Read more

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How long for av fistula to mature?

How long for av fistula to mature?

Many factors: There are many things which effect avf maturation. Vein size, location, and type of fistula to name a few. In the best of circumstances, expect 6-8 weeks, but many times a fistula will take longer or need additional procedures to help it mature fully. ...Read more

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How do you close a urethral fistula?

Surgically: The urethral fistula is a small opening between the urethra (urinary pipe) and vagina. It can be easily closed with a surgical procedure. There are no pills for it. ...Read more

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Can I exercise with an anal fistula?

Can I exercise with an anal fistula?

Sure: Exercise is unlikely to change the course of an anal fistula. If you have an anal fistula, you should have it corrected by a board certified colorectal surgeon, but exercising is not likely to make your situation any worse (though the fistula may make the exercise uncomfortable). ...Read more

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Is treating a urinary fistula painful?

Is treating a urinary fistula painful?

Surgery pain: Fixing the urinary fistula requires small surgery. Pain meds before and after and local or regional anesthesia will greatly reduce this. But yes, ther will be some short moderate pain. ...Read more

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What causes adhesions on the intestine?

Peritoneal loss: Intestinal adhesions are due to the loss of the protective peritoneal membrane which envelops the small and large intestines. This is most commonly due to previous surgery but can be due to infection as well. ...Read more

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Is an av fistula permanent or temporary?

Permanent w/o repair: An AV fistula, or arterial-venous fistula, is an abnormal connection between an artery & vein that allows high pressure arterial blood to travel into the low pressure venous system. It can be caused by traumatic blood vessel injury or purposely created surgically by a doctor (e.g for dialysis access). An AV fistula is always permanent unless repaired surgically or with covered stenting of vessels. ...Read more

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Is it true that av fistula is permanent?

Need info: A surgically created fistula for dialysis is not removed unless infected. An av fistula from other sources may need repair. Why do you have an av fistula? ...Read more

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Can a person have an external av fistula?

Yes- not practical: It turns out that the first "fistulas" made years ago when dialysis first started were "external" fistulas. They were actually synthetic/plastic tubes connecting an artery to a vein. There were significant problems with bleeding and infections. These "external" fist las are not used today. If someone needs urgent dialysis they get a catheter. For long term dialysis either a fistula or a graft. ...Read more

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Lysis of labial adhesions how they do it?

Lysis of labial adhesions how they do it?

Surgical separation: Labial adhesions or vaginal synechia where labia of both sides get adherent in midline, causing urinary symptoms, seen in prepubertial females, surgically dissected and separated, also occasionally seen in sexually inactive females and elderly. Initial non surgical treatment done with estrogen ; steroid creams ...Read more

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How much a lasser cirugy an anal fistula?

How much a lasser cirugy an anal fistula?

Hmmm: If you are asking what the cost of laser surgery to treat an anal fistula might be, I can't help you. But I can tell you that treating an anal fistula with laser surgery would be rather unorthodox. ...Read more

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How does a fistula work to dialysis patient?

Arterial Diversion: When an artery is connected to a vein, the vein walls thicken and become muscular (due to the new high arterial pressure).
This makes finding the vein easier. More importantly, the large bore needles can be removed and pressure held, with clot forming in the muscular walls, to stop the bleeding. If the veins weren't muscular, putting the needle in and taking it out safely, aren't possible. ...Read more

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What is a fistula and what is its treatment?

Abnl connection: Abnormal connection between organs (ie intestine) and other organs or vessels. ...Read more

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How would one diagnose a peri lymph fistula?

Difficult diagnosis: Perilymphatic fistula is an infrequent complication of head injury, heavy lifting, or barotrauma in which a fistula develops at the otic capsule. Sneezing, lifting, straining, coughing, and loud sounds may cause episodic vertigo or hearing loss. Most diagnostic tests are insensitive, but ct of the head may help. Bed rest, head elevation, and avoiding straining are conservative treatment measures. ...Read more

Fistula (Definition)

A fistula is an abnormal connection between two places. Most commonly, it originates somewhere in the intestine and communicates to another location in the intestine or in the skin. A fistula can develop after abdominal surgery, with inflammatory bowel disease, cancer, anorectal abscess, and ...Read more