Gastrojejunocolic fistula after gastrojejunostomy: a case series.
BACKGROUND
Gastrojejunocolic (GJC) fistulae represent a significant post-surgical cause of morbidity and mortality. GJC fistulae represent rare post-surgical complications, and most are associated with gastric surgery. In the past, this complication has been under-recognized because a fistula may form years after surgery.


METHODS
We describe two cases of gastrojejunocolic fistula in men aged 67 and 60 who both initially presented with watery diarrhea and weight loss. Upper GI studies with small bowel follow-through or barium contrast enema studies allowed a conclusive diagnosis to be made. Both patients underwent one-stage en bloc resection, and their postoperative course was uneventful.


CONCLUSIONS
With surgery, this condition is entirely correctable. Pre-operative nutritional status should be evaluated in patients undergoing corrective surgery, and total parenteral nutrition plays a major role in the provision of bowel rest to allow recovery in malnourished patients.
Wu
Jin-Ming
JM
National Taiwan University Hospital, Department of Surgery, Taipei, Taiwan. kptkptkpt@yahoo.com.tw
Wang
Ming-Yang
MY
Lee
Po-Huang
PH
Lin
Ming-Tsan
MT