Formation of gastrocolic fistula during treatment for peptic ulcer.
We report a case of gastrocolic fistula (GCF) caused by a gastric ulcer and rare endoscopic findings indicating the early stages of GCF formation. The patient was a 58-year-old man who was hospitalized with upper abdominal pain. He was diagnosed as having a gastric ulcer, and was prescribed a proton pump inhibitor (PPI), but did not comply with the medication. One year later, he was again referred with recurrent abdominal pain. Endoscopic examination showed what appeared to be a portion of exposed colonic wall located in the center of an active gastric ulcer, and repeated endoscopy after PPI treatment for 8 days demonstrated a typical GCF. A preoperative diagnosis of GCF was made, and the patient underwent wide gastrectomy with partial resection of the transverse colon.
Iwasaki
Yoshimi
Y
Department of Gastroenterological Surgery, Dokkyo Medical University, Mibu, Tochigi, Japan. yiwasaki@dokkyomed.ac.jp
Kubota
Keiichi
K
Shimoda
Mitsugi
M
Ishikawa
Kunifumi
K
Satoh
Naoki
N
D003082:Colectomy; D003108:Colonic Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005743:Gastrectomy; D005747:Gastric Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005773:Gastroscopy; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013276:Stomach Ulcer / Q000150:complications* / Q000175:diagnosis / Q000601:surgery