Chirurgia (Bucharest, Romania : 1990) · 2012
Gastrojejunocolic fistula: report of six cases and review of the literature.
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Puia I C, Iancu C, Bălă O, Munteanu D, Al-Hajjar N, Cristea P G
Аннотация
UNLABELLED: Six gastrojejunocolic fistulae were recorded at our service between 1995-2005. All the fistulae occurred in men who had gastric resection performed for duodenal ulcer.
METHOD: Diarrhea, weight loss, postprandial pain and fecal breath were the clinical findings present in descending frequency. Preoperative diagnosis was possible in 5 patients by endoscopy and barium contrast studies. In five patients the option was a one-stage procedure with revision gastrectomy and segmental resection of the transverse colon. In one case simple dismantling of the fistula was performed.
RESULTS: Although in two patients anastomotic leakage developed no mortality was recorded.
METHOD: Diarrhea, weight loss, postprandial pain and fecal breath were the clinical findings present in descending frequency. Preoperative diagnosis was possible in 5 patients by endoscopy and barium contrast studies. In five patients the option was a one-stage procedure with revision gastrectomy and segmental resection of the transverse colon. In one case simple dismantling of the fistula was performed.
RESULTS: Although in two patients anastomotic leakage developed no mortality was recorded.