[Chronic diarrhea as late complication of partial gastrectomy].
The authors present a clinical case of a forty-nine-year-old man admitted to hospital because of a seven month history of diarrhoea. The patient had been submitted to partial gastrectomy twenty-two years ago due to peptic ulcer. The analytic study was compatible with malabsorption syndrome. The colonoscopic and radiological studies revealed the existence of two fistulas between the gastric-stump, the small intestine and the colon. The patient was submitted to surgery with resection of the fistulas and re-gastrectomy with trunk vagotomy and Roux-en-Y reanastomosis. The follow-up twelve months after surgery showed an asymptomatic subject with weight recovery who had resumed his professional activities without limitations.
Clínica Oncológica IV, Instituto Português de Oncologia, Porto.
F
F
Cardoso
A
A
Ferreira
J
J
Diogo
D000713:Anastomosis, Roux-en-Y; D002908:Chronic Disease; D003967:Diarrhea / Q000209:etiology*; D004487:Edema / Q000209:etiology; D005743:Gastrectomy / Q000009:adverse effects* / Q000379:methods; D005747:Gastric Fistula / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000000981:diagnostic imaging / Q000601:surgery; D007579:Jejunal Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D007866:Leg; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012086:Reoperation; D013276:Stomach Ulcer / Q000601:surgery; D013997:Time Factors; D014628:Vagotomy