title: Current Diagnosis and Management of Gastrojejunocolic Fistula.
abstract: We herein report the case of a 51-year-old man with gastrojejunocolic fistula. It is one of the late severe complications of gastrectomy and gastrojejunostomy and is considered to be induced by a stomal ulcer due to inadequate resection of the stomach and incompleteness of vagotomy. The main clinical presentation of this condition is chronic abdominal pain, weight loss, diarrhea, gastrointestinal bleeding and fecal vomiting. The diagnostic workup should include barium enema, gastroscopy and sometimes colonoscopy and abdominal tomography for excluding and ruling out the possibility of malignant extraluminal disease. The historical approach of the treatment of this rare entity was 2-3-phased operations which included colostomy. However today, medical management has recently been recommended as the first-line therapy, with parenteral and enteral support treatments. The preferred surgical approach is single-stage gastrocolic resection and anastomosis and this has been favored to minimize mortality.
authors.affiliation: Department of Gastroenterologic Surgery Clinic, Yuksek Ihtisas Hospital, Ankara, Turkey.
authors.forename: Can
authors.initials: C
authors.lastname: Kece
authors.forename: Tahsin
authors.initials: T
authors.lastname: Dalgic
authors.forename: Isılay
authors.initials: I
authors.lastname: Nadir
authors.forename: Behlul
authors.initials: B
authors.lastname: Baydar
authors.forename: Gurel
authors.initials: G
authors.lastname: Nessar
authors.forename: Burhan
authors.initials: B
authors.lastname: Ozdil
authors.forename: E Birol
authors.initials: EB
authors.lastname: Bostanci
references.citation: Hong Kong Med J. 2001 Dec;7(4):439-41
references.pmid: 11773682
references.citation: Zhonghua Wai Ke Za Zhi. 1991 Aug;29(8):503-5, 526
references.pmid: 1813247
references.citation: Acta Chir Scand Suppl. 1969;396:67-70
references.pmid: 5257685
references.citation: Surg Today. 1994;24(12):1085-9
references.pmid: 7780232
references.citation: Trop Gastroenterol. 1997 Oct-Dec;18(4):183-7
references.pmid: 9612105
references.citation: J R Coll Surg Edinb. 1973 Jul;18(4):227-30
references.pmid: 4719795
references.citation: Ann Surg. 1941 Dec;114(6):1004-10
references.pmid: 17857925
references.citation: J Clin Gastroenterol. 1993 Apr;16(3):189-91
references.pmid: 8505487
references.citation: Acta Chir Hung. 1995-1996;35(1-2):77-85
references.pmid: 8659242
references.citation: World J Surg Oncol. 2005 Feb 10;3(1):9
references.pmid: 15705194
references.citation: Rom J Gastroenterol. 2004 Mar;13(1):39-41
references.pmid: 15054525
references.citation: G Chir. 2006 Oct;27(10):360-2
references.pmid: 17147847
references.citation: J Korean Med Sci. 1996 Oct;11(5):437-9
references.pmid: 8934400
references.citation: Am J Roentgenol Radium Ther Nucl Med. 1960 May;83:876-81
references.pmid: 13837890
references.citation: Ann Surg. 1975 Mar;181(3):376-80
references.pmid: 1130854
references.citation: Clin Imaging. 1999 Sep-Oct;23(5):295-7
references.pmid: 10665346
references.citation: Surg Clin North Am. 1962 Dec;42:1443-9
references.pmid: 13966515
references.citation: Neth J Med. 1993 Dec;43(5-6):218-21
references.pmid: 8107927
references.citation: Ann Surg. 1957 May;145(5):770-82
references.pmid: 13425286
references.citation: Surg Today. 2002;32(4):367-70
references.pmid: 12027205
references.citation: Br J Surg. 1953 Sep;41(166):113-28
references.pmid: 13093981