[Surgery for excision of malignant duodenocolic fistulas. Review of the literature apropos of a case].

Malignant duodenocolic fistula is nearly exclusively the fact of carcinoma of the hepatic flexure; it is one of the most uncommon and particular evolutive complication, because of its rapid nutritional disturbances and difficult surgical management. The authors report the case of a 78 year old man, still alive 18 months after a one staged right colectomy and pancreatico duodenectomy. The analysis of 26 others cases from literature treated with the same procedure or, most frequently, with right colectomy and partial duodenectomy allows to discuss indications and results of radical surgery: though it is possible at least in half cases, it represent a much better functional solution compared to complex by-pass procedures: more over its seems to be prognostically justifiable: out of 23 curative resected patients in this series, 6 at least (26%) are still alive from 9 to 26 years after.