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...

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Bibliographic Details
Published in:Digestive endoscopy 2009-07, Vol.21 (3), p.208-210
Main Authors: Iwasaki, Yoshimi, Kubota, Keiichi, Shimoda, Mitsugi, Ishikawa, Kunifumi, Satoh, Naoki
Format: Article
Language:English
Subjects:
Colectomy
Colonic Diseases - diagnosis
Colonic Diseases - etiology
Colonic Diseases - surgery
Gastrectomy
Gastric Fistula - diagnosis
Gastric Fistula - etiology
Gastric Fistula - surgery
gastric ulcer
gastrocolic fistula
Gastroscopy
Humans
Intestinal Fistula - diagnosis
Intestinal Fistula - etiology
Intestinal Fistula - surgery
Male
Middle Aged
Stomach Ulcer - complications
Stomach Ulcer - diagnosis
Stomach Ulcer - surgery
wide gastrectomy
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Summary: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.
ISSN:0915-5635
1443-1661
DOI:10.1111/j.1443-1661.2009.00889.x