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Palliative Care Consultations in Gynaeoncology$
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Sara Booth, Eduardo Bruera, and Teresa Tate

Print publication date: 2004

Print ISBN-13: 9780198528067

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780198528067.001.0001

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The management of fistulae

The management of fistulae

(p.79) Chapter 6 The management of fistulae
Palliative Care Consultations in Gynaeoncology

Robin Crawford

Oxford University Press

This chapter discusses the management of fistulae, which poses a significant problem to a patient dying of gynaecological cancer. Fistulae often develop as complications of treatment in patients undergoing curative therapy. They can be treated aggressively to restore normal functions and to avoid uncontrolled loss of malodorous or corrosive fluids. In patients with advanced cancer, a fistula is a reminder of the incurable nature of her disease. In such patients, the management of these complications through surgical intervention is inappropriate. However, the symptoms caused by a fistula can be managed in various ways to improve the quality of life of the patient for the remaining days of her life. Among the management strategies to address fistulae are physical methods such as colonic and ureteric stents; drug therapies; and surgical interventions.

Keywords:   management of fistulae, fistulae, fistula, physical methods, colonic stents, uteretic stents, drug therapies, surgical interventions

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