title: Gastrocolic fistula secondary to nonsteroidal anti-inflammatory drugs abuse in a cirrhotic patient.
abstract: Gastrocolic fistula is rarely described in the literature. It has been associated with a variety of diseases and recently with benign gastric ulcers related to the use of nonsteroidal anti-inflammatory drugs (NSAIDs'). The present case represents the first report of gastrocolic fistula due to NSAIDs in a cirrhotic patient. This is in keeping with the established knowledge that cirrhotic patients constitute a high-risk group of patients when treated with NSAIDs'. Review of the literature shows that this condition warrants a complete diagnostic work-up to exclude more ominous underlined diseases.
authors.affiliation: First Department of Internal Medicine, 8 Chrisostomou Smirnis Str., GR-68 100 Alexandroupolis, Greece. kmimidis@otenet.gr
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Mimidis
authors.forename: Vassilios
authors.initials: V
authors.lastname: Papadopoulos
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Katsinelos
authors.forename: Savvas
authors.initials: S
authors.lastname: Deftereos
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Filippou
authors.forename: Georgios
authors.initials: G
authors.lastname: Kartalis
mesh_terms: D000368:Aged; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects* / Q000627:therapeutic use; D005747:Gastric Fistula / Q000139:chemically induced* / Q000473:pathology; D006801:Humans; D007412:Intestinal Fistula / Q000139:chemically induced* / Q000473:pathology; D008103:Liver Cirrhosis / Q000150:complications; D008297:Male; D012307:Risk Factors; D019966:Substance-Related Disorders
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal