Gastrocolic fistulae in benign peptic ulcer disease.
Occurence of gastroenteric fistulae in non-surgically treated peptic ulcer disease is rare as suggested by only 26 cases published in the literature so far. We had the opportunity to care for 3 patients with this problem in a period of one year. At our institution, a search of the medical records dating back to 1955 yielded one additional case. Most of our patients had a history of salicylate or corticosteroid intake. We present here the details of these cases and discuss the possible role of the location of the ulcer and ulcerogenic anti-inflammatory drug ingestion in the causation of gastroenteric fistula. We believe the incidence of this uncommon entity may rise significantly with the more common use of salicylates and corticosteroids.
D000328:Adult; D002648:Child; D003106:Colon / Q000000981:diagnostic imaging / Q000601:surgery; D003108:Colonic Diseases / Q000150:complications*; D005402:Fistula / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005743:Gastrectomy; D005747:Gastric Fistula / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013270:Stomach / Q000000981:diagnostic imaging; D013276:Stomach Ulcer / Q000150:complications*