Korean J Gastrointest Endosc.
2005 Aug;31(2):116-120.
A Case of Gastrojejunocolic Fistula as a Complication after Gastrojejunostomy
- Affiliations
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- 1Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea. parksj6406@yahoo.co.kr
- 2Department of General Surgery, Kosin University College of Medicine, Busan, Korea.
- 3Department of Pathology, Kosin University College of Medicine, Busan, Korea.
Abstract
- Gastrocolic and gastrojejunocolic fistula are well-recongnized but rare complications of a variety of diseases, and surgical or endoscopic procedures We had a case of gastrojejunocolic fistulae associated with marginal ulcer following gastrectomy with Billroth II gastrojejunostomy for recurrent peptic ulcer disease. He had chronic watery diarrhea, weight loss and fecal eructation and gastrojejunocolic fistula was dignosed by gastroscopy, barium enema, upper gastrointestinal series and abdominal CT scan. He underwent subtotal gastrectomy with Roux-en-Y gastrojejunal anastomosis and en-bloc resection including the fistula and surrounding colon, jejunum and gastric segments. Hereafter, he showed disappearance of diarrhea, along with slow rate of weight gain.
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