Gastrojejunocolic fistula after gastrojejunostomy: A case series
Journal
Journal of Medical Case Reports
Journal Volume
2
Pages
193
Date Issued
2008
Author(s)
Abstract
Introduction: 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. Case presentation: 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. Conclusion: 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. © 2008 Wu et al; licensee BioMed Central Ltd.
Other Subjects
adult; aged; article; barium enema; case report; colonoscopy; diagnostic procedure; diarrhea; digestive system fistula; follow up; gastrectomy; gastrojejunocolic fistula; gastrojejunostomy; gastroscopy; histopathology; human; male; postoperative period; priority journal; pylorus stenosis; Roux Y anastomosis; stomach biopsy; stomach perforation; stomach ulcer; truncus vagotomy; weight reduction
Type
journal article