title: Duodenocolic fistula caused by a peptic stomal ulcer following distal gastrectomy.
abstract: We herein describe the case of a 51-year-old man with a duodenocolic fistula (DCF) caused by a stomal ulcer. The patient complained of watery diarrhea, dysgeusia and malnutrition. His medical history included distal gastrectomy with Billroth I reconstruction for duodenal ulcer perforation. A combination study using endoscopy and contrast imaging confirmed the presence of DCF. Laparotomic fistulectomy was performed, which resulted in the patient's recovery from diarrhea and malnutrition. The histological findings suggested that the fistula had originated from a stomal ulcer. In patients with chronic watery diarrhea of obscure origin following gastrectomy, DCF is a possible cause of the diarrhea.
authors.affiliation: Department of Gastroenterology, Akita University Graduate School of Medicine, Japan.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Sawaguchi
authors.forename: Mario
authors.initials: M
authors.lastname: Jin
authors.forename: Tamotsu
authors.initials: T
authors.lastname: Matsuhashi
authors.forename: Reina
authors.initials: R
authors.lastname: Ohba
authors.forename: Natsumi
authors.initials: N
authors.lastname: Hatakeyama
authors.forename: Shigeto
authors.initials: S
authors.lastname: Koizumi
authors.forename: Kengo
authors.initials: K
authors.lastname: Onochi
authors.forename: Shin
authors.initials: S
authors.lastname: Tawaraya
authors.forename: Noboru
authors.initials: N
authors.lastname: Watanabe
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Uchinami
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Yamamoto
authors.forename: Hirohide
authors.initials: H
authors.lastname: Ohnishi
authors.forename: Hirosato
authors.initials: H
authors.lastname: Mashima
mesh_terms: D003108:Colonic Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D004378:Duodenal Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D005743:Gastrectomy / Q000379:methods; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000150:complications / Q000175:diagnosis* / Q000601:surgery