Fistula

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.”

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What They Are Saying

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Center For Digestive Health, Rochester Hills4.8

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Dwayne S.

Everyone I spoke to there was so nice. I was on time and so were they, very little waiting which made me feel good. They were Great. Thanks so much.

Andrew

Highly recommend

Donald Z.

Great experience, highly recommend.

Vicki K.

Everyone was so friendly and caring. I have total faith in Dr. Saeed. Highly recommend.

Randy J.

Very professional and well run Medical Center.

Chicken W.

The office is very clean and the staffs are very friendly. They made sure that I had a driver so that I can leave the office safely after my procedure. The nurse gave me ample time to recover without feeling rushed to leave the office.

Jon L.

Dr. Donat and staff were wonderful.

Michail C.

From initial booking, to constant reminders and check-ins, through procedure, to after procedure courtesy check they were great. Highly recommend.

Meredith J.

Every nurse and CRNA that I had was kind . Everyone explained everything thoroughly and asked if I had questions . I felt I was in confident hands !

jeff H.

Always a joy to see the staff they take good care of me

Tanja S.

Great Service! I can highly recommend this office for colonoscopy! All the staff and my doctor were very friendly. I didn’t have to wait at all and was in and out within 1,5 hours. Anesthesia was great as well - I was not drowsy and could go on with my day without and problems!

James W.

Staff was friendly, efficient and knowledgeable.

Lori M.

Would recommend 100 percent. I had Dr. NANDI. Great dr.very informative. NURSES were soooo nice and worked professional. Office clean and a great overall experience. And they were on time with my appointment.

Dianne L.

Dr. Bologna is a awesome doctor very helpful, kind I would highly recommend him. The people that work with him and very friendly and make you feel comfortable!!!!!!

Heidi M.

Dr Weber and his team are just amazing! I was treated with the upmost care from beginning to end by the front desk crew, to the Nurse Anesthetist, the pre-op and post-op Registered Nurses, and Dr Weber himself. I truly felt confident and at ease each step of the way. Can’t thank you all enough!

Tina M.

100% that dr.nandi and his staff are taking the best care of there patients, always thoughtful,patient and caring,couldn't ask for a better place.

Eric S.

Everyone was quick and professional.

Robert W.

I observed the best in teamwork! Dr.Tocco was the best , his mannerisms was suburb!

Allen J.

I was completely in awe if the service and attention that I received as a new patient from another hospital. Everyone from the receptionist who scheduled my initial appointment to Everyone I met including the doctor were attentive caring. I would definitely recommend the Center for Digestive Health to anyone seeking a first or second opinion. Thank you all so very much! Allen Jefferson Ed.D, MS

Nancy T.

Friendly and experienced staff! In and out quickly!!

Martin D.

All the staff is very compassionate, and considerate. They make you feel at ease, even when you’re feeling nervous and overwhelmed

John G.

Well run office, professional and conscientious Dr & staff

Frederick S.

Great experience as always from the Doctors, PA and staff

Amanda B.

Dr.Aalia Saeed is wonderful. I have had 3 EGD&colonoscopies with her.Most recent one being at Macomb Endoscopy Center which I found much more comfortable than the previous 2 @ Lapeer Regional Medical Center.highly recommend!

Daniel S.

Great staff, easy of scheduling, and was prompted every step of the way

The Center for Digestive Health4.8

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Franklin R.

Excellent service!!!

Bruce S.

Everyone and everything was perfect. I can't give enough stars. Thank You all!

Christine B.

Dr Menhat is a very good doctor as well as his medical staff. I did have a problem that I did not receive the pre op instructions until I placed a call the Thursday before my Monday colonoscopy. I received the instructions immediately after my phone call. I believe I called the office in mid April to schedule the procedure.

Colleen L.

Very well run office! The office was packed and your first thought is that it was going to take a long time. They were on time and the staff was wonderful!

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.

Amir Abadir MD, FRCPC

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

Christina N. Brown, 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.

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