What is a Fistula?

The term fistula describes an abnormal connection between two parts of the body. For example, a fistula may occur between an organ and another body part.

There are several types of fistulas:

  • Blind: A fistula that is only opened on one end, but is connected to two body structures.
  • Complete: This type of fistula has an opening outside the body, as well as inside the body.
  • Horseshoe: This type of fistula is between the anus and the surface of the skin, and it goes around the rectum.
  • Incomplete: An incomplete fistula is a tube that begins at the skin but is closed on the inside, so it does not connect with any body structures internally.

There are various possible locations of a fistula on the body. Some common fistula locations include:

  • Between arteries and veins
  • From bile ducts to the skin’s surface, due to gallbladder surgery
  • Between the neck and throat
  • From the cervix or bowel to the vagina
  • From the colon to the body’s surface
  • In the area inside the skull and nasal sinus
  • Between the stomach and the skin’s surface
  • From the navel to the gut
  • Between the uterus and the walls of the abdomen

It is also possible to have an anal fistula, which develops when the anus has an abnormal connection with another organ.

Another type of fistula, called a gastrointestinal fistula, is located in the digestive tract. This type of fistula may develop between one part of an intestine and another.

Applicable Procedures

Colonoscopy

What causes a fistula?

There are several causes of a fistula. For instance, injuries and surgery are potential causes. Other fistula causes include infections and inflammation. Fistulas can develop between arteries and veins as a result of an injury, whereas inflammatory bowel diseases, such as ulcerative colitis, can cause the development of fistulas between intestinal loops. An anal fistula can sometimes be congenital, meaning that it is present from the time a person is born. It occurs when an abnormal connection develops between the anus and another organ.

How is a fistula treated?

Treatment for a fistula begins with a diagnosis. A doctor may diagnose a fistula by running blood tests, taking x-rays, or performing an endoscopy or CT scan. Fistula treatments will vary based upon the type and location of the fistula, and in some cases, a fistula may resolve on its own. Fistula treatments may involve managing infection, replenishing fluids, and correcting electrolyte imbalances. In some cases, a fistula may require surgery.

Do I have to seek treatment for a fistula?

If you think you may be suffering from a fistula, it is important to see a doctor to prevent complications. A medical professional can determine the best fistula treatment for your situation.

Common Symptoms

  • “I developed a fever accompanied by stomach pain.”
  • “I started to have diarrhea all the time, and I was suffering from rectal bleeding.”
  • “I felt dehydrated and started to lose weight, and my overall health just got worse.”

Find a Location in Your Area

Request an Appointment

What They Are Saying

jennifer S.
Everyone was so kind and helpful. My recovery nurse, Allison was especially helpful and caring. Thank you everyone.
Rosie S.
I was scared because I have a family history of colon cancer. This was my first colonoscopy and they made me feel confident and relaxed! Such a great staff and Dr Bakken is a gem! Wonderful doctor and person! So caring and reassuring that everything will be alright! I will recommend her and staff to everyone!
Kathy H.
Professional and friendly staff. Center for Digestive Health knows how to efficiently care for patients. I was well prepared for my procedure, allowed ample time to ask questions and never felt rushed. Thank you Dr. Donat and staff for your excellent care!
Theresa M.
Troy gastro truly is a unique staff. And don't even get me going on Dr. Nandi. He really is amazing. They take excellent care of patients. They also ease you through out the procedure with class.
Artt C.
The whole staff was polite and professional in handling this procedure
Peggy N.
Can't say enough kind words for the care and kindness from both Dr. Bologna and his staff.
Kathy O.
Office staff is friendly and polite, office is clean and well appointed. My visit with Dr Richard Willi was just perfect. He was very attentive, listened to me, made suggestions of over the counter meds that I would benefit from, and recommended a procedure due to my family history. I highly recommend Dr Richard Willi.
Meghan P.
I couldn’t have had a better experience. Dr. Bakken, every nurse, desk support, everything was incredible! I am so grateful for such a comfortable and easy going experience!
mazin K.
They made me feel very comfortable from beginning to end of my procedure. Everyone there was great. The front desk woman was very personable. The man that took me to my private room was very nice and explained exactly what I needed to do. The nurses that prepared me were great. The nurse anesthetist made me feel comfortable and safe The whole time. Dr. Bologna explained everything before we started and made me feel very comfortable. Thanks to everyone there I had a great experience.
Sylvia E.
Everyone was so kind and wonderful. Highly recommend Dr. Weber and his staff!
kavitha K.
Very happy with the place . All the staff and Dr. Tocco were amazing. Getting appointment was easy and they scheduled the procedure within 4 days. Please visit this place for your edg or colonoscopy needs. They are just amazing. Thank you
Donna B.
As always I had a great experience with my colonoscopy. Dr Donat does an excellent job!
Timothy M.
The staff and procedure was great! Everyone was nice and friendly!!
Fred S.
Doctor Weber and nursing staff are superb. Dr. Weber's knowledge and credentials are impressive. My only regret is that I didn't go to him for my previous procedures.
Vincent D.
Everybody was nice the surgery went on time
Janet H.
Terrific experience. Staff is very caring, knowledgeable and kind. I felt comfortable and the procedure was painless. Great team
Bruce M.
Great overall experience from check in to pre-op to the procedure to recovery. Great staff and a great doctor too.
rlockr
I can not say enough good things about my experiences with this follow up 3 year colonoscopy! Everyone was warm, organized and inviting and on time and Dr. Quallich was friendly and supportive.
Laura G.
All the staff are very professional. They make you feel safe and comfortable. We
Randy J.
The entire staff was some of the nicest medical professionals I have ever dealt with. From the lady checking me in to the person taking my information and explaining the process to the anesthesiologist to the doctor to the recovery nurse. They took time to speak to me and explain what was happening and seeing if I had any questions. I will recommend the Center for Digestive Health to anyone I know and already have to 2 people in my office. It was a fantastic experience. Thank you.
Sheri E.
Dr Nandi is excellent
Daniel R.
I was treated with kind professional care and I recommend the Center for Digestive Health to anyone looking for a good place to take care of you.
Charity D.
Dr. Khan is so knowledgable and caring.
N K.
Dr. Richard T. Wille, MD is amazing . Explain everything well take time with you. All staff Front desk and medical assistant are helpful and great. Highly recommend this office.
L S.
Surprisingly refreshing group of friendly, kind, skilled medical professionals. Very happy with their care.
Teresa W.
The staff is amazing and they were very attentive. My doctor was the best!
Rebecca M.
Very good experience!
Jere R.
Prompt. Professional. Extremely Friendly. Caring. Doctor explained what was done, next steps and follow-up visit.
Joe C.
The staff was friendly and efficient. The dr that performed my procedure was knowledgeable and clearly defined what was done and the final (good) results ; will definitely go back to this group for more required tests.

Our Doctors

We’re proud of our team here at Digestive Health Institute. Our health care providers include some of the very best colorectal surgeons, gastroenterologists and physician assistants. To learn more about our qualified team of specialists, please visit our providers page.

Anezi E. Bakken MD, MS

Sante D. Bologna MD, FACP

M. Emin Donat MD, FRCPC

Partha S. Nandi

Jack Tocco DO

John R. Weber MD

Richard T. Wille MD

Tusar Desai MD

Aalia Saeed, MD

FAQs

What happens during my first visit?
If you are a new patient, you can expect to have a complete physical exam. You will also be asked detailed questions about your current problems and your past medical history, your current medications, allergies, your family history and other pertinent medical information. If you are taking medications, please bring a completed medical history form with you to your appointment. Once the physician has reviewed your medical information and completed the physical examination, a plan of care will be developed. You may need to be seen again in the office, be referred back to your family physician for follow-up care, or require additional testing. If additional tests are needed, we will assist you in scheduling these tests.
What if I need to schedule an endoscopic procedure?

An endoscopic procedure allows the physician to visualize a part of your gastrointestinal tract with a special instrument called an endoscope. If your family physician has ordered testing, you will be contacted by telephone by one of our staff members. If a physician orders testing and you are in the office, the procedure can generally be scheduled during the course of your visit. You will be given a date, time, and location for the test, as well as written instructions telling you how to prepare for the test. If you have any questions about the procedure, please feel free to ask one of our staff members or the physician.

How do I get test results?

We ask that you wait 10 to 14 days before contacting us for results. Often results come from several different sources. This information needs to be compiled and reviewed by your physician before you can be appropriately advised. 

What insurances do you accept?

We accept payment from most insurance companies including Medicare, Blue Cross/Blue Shield, Blue Care Network, Physicians Health Plan, Cofinity, Sparrow Professional Health Network, Medicaid, McLaren, Health Plus, and several others. Accepted insurances are subject to change at any time without notice.

If your insurance requires an authorization from your primary care physician, you may be asked to assist us in obtaining this authorization.

All patients are responsible for all copays and deductibles at the time of service.

If you have any questions regarding your benefits or insurance coverage, please contact our Billing Department at 248-844-9710.

What if I need to contact the doctor?

To contact your doctor during business hours please call our main number 248-844-9710. If you have an urgent need to speak with the doctor after hours, you will be rerouted to our after hours answering service, and your doctor will be paged. In the case of a medical emergency please proceed directly to the nearest hospital emergency room.

Related Content

3 reasons to see a gastrointestinal specialist when you turn 45

3 reasons to see a gastrointestinal specialist when you turn 45

A gastrointestinal specialist is someone who specializes in the gastrointestinal tract. The gastrointestinal tract involves a pathway that starts at the mouth and ends at the anus. The organs within the gastrointestinal tract are those that function mostly for...

The Benefits of Water for Digestion

The Benefits of Water for Digestion

Digestion is a process that, when running smoothly, can help keep the rest of your body in good condition too. It’s an important component of your overall health. There are several different ways that the digestive system can be well maintained, and this can be helped...

Do I Need an Endoscopy for Acid Reflux?

Do I Need an Endoscopy for Acid Reflux?

An endoscopy is a procedure that is typically used to examine an individual’s digestive tract. It is a non-surgical procedure that involves a tube with a video camera attached to it, called an endoscope, that is used to examine the inside of a cavity in the body. An...

Sign Up for Our Newsletter