A Case of Gastrojejunocolic Fistula as a Complication after Gastrojejunostomy.
- Author:
Ji Hyun NAM
1
;
Joo Hoon KIM
;
Ji Eun PARK
;
Hyoung Jun KIM
;
Seung Hyun LEE
;
Byung Kwan AHN
;
Hee Kyung CHANG
;
Seun Ja PARK
Author Information
1. Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea. parksj6406@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Gastrocolic fistula;
Gastrojejunocolic fistula;
Marginal ulcer
- MeSH:
Barium;
Colon;
Diarrhea;
Enema;
Eructation;
Fistula*;
Gastrectomy;
Gastric Bypass*;
Gastroenterostomy;
Gastroscopy;
Jejunum;
Peptic Ulcer;
Tomography, X-Ray Computed;
Weight Gain;
Weight Loss
- From:Korean Journal of Gastrointestinal Endoscopy
2005;31(2):116-120
- CountryRepublic of Korea
- Language:Korean
-
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.
