260 results on '"Gastrocolic fistula"'
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2. Gastrocolonic Fistula Caused by Buckyballs
- Author
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Chen, Yi, Ni, Bingqian, You, Ningning, and Zhang, Jinshun
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- 2024
- Full Text
- View/download PDF
3. Gastrocolic fistula as a complication of a gastric ulcer related to Helicobacter pylori in a child.
- Author
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Mancheron, Alexandre, Bonnard, Arnaud, Belarbi, Nadia, Viala, Jérôme, and Lengline, Hélène
- Subjects
- *
STOMACH ulcers , *HELICOBACTER pylori , *ANTIBIOTICS , *PATHOGENIC microorganisms , *ABDOMINAL pain - Abstract
Gastrocolic fistulas are very rare in children and their association with Helicobacter pylori is poorly described. We present the case of a 10-year-old boy with a history of chronic abdominal pain, diarrhea, halitosis, and growth delay diagnosed with H. pylori -associated gastritis and gastrocolic fistula. The boy recovered with resection surgery and antibiotic therapy for eradication of the pathogen. This is the first description of a gastrocolic fistula in pediatrics related to H. pylori. [ABSTRACT FROM AUTHOR]
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- 2024
- Full Text
- View/download PDF
4. Gastrocolic fistula caused by transverse colon cancer: a case report
- Author
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Tomoyuki Sugi, Masanao Kurata, Tomoaki Furuta, Osamu Ishibashi, Satoshi Inagawa, Hiroyuki Ariga, Junya Kashimura, Hitomi Kawai, Norio Takayashiki, and Tatsuya Oda
- Subjects
Gastrocolic fistula ,Colon cancer ,En bloc resection ,Surgery ,RD1-811 - Abstract
Abstract Background A gastrocolic fistula is an unusual communication between the colon and the stomach. Although colon cancer is the most common malignant cause of gastrocolic fistula in the Western world, the incidence of gastrocolic fistula due to colon cancer is 0.3% in operated cases. Case presentation A 68-year-old man presented with anorexia, general malaise, weight loss, and vomiting of fecal matter. Investigations revealed that the patient had a large nonmetastatic splenic flexure tumor that was diagnosed as colon cancer and had invaded the stomach and pancreas. An upper gastrointestinal series confirmed a gastrocolic fistula. Left hemicolectomy, distal gastrectomy, distal pancreatectomy, and splenectomy were performed. Histology revealed transverse colon cancer, which was UICC stage (8th edition) pT4bN1bcM0 pStage IIIC. Adjuvant chemotherapy was not performed. There was no recurrence or metastasis one year after surgery. We reviewed 17 cases including our case of a gastrocolic fistula caused by colon cancer. Neoadjuvant chemotherapy was not given to any of the patients, and en bloc resections were conducted in all cases. Adjuvant chemotherapy was given to almost all of the patients. There was no recurrence or metastasis. Conclusions For gastrocolic fistula caused by advanced colon cancer, secure en bloc surgical resection was the initial treatment in all 17 reported cases including the present case, and adjuvant chemotherapy may contribute to a better prognosis.
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- 2023
- Full Text
- View/download PDF
5. Gastrocolic fistula in Crohn's disease: A case report and review of the literature
- Author
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Alexandra Menni, MSc, Georgios Tzikos, PhD, Vasileios Rafailidis, MSc, Despoina Krokou, MD, Eleni Karlafti, MSc, Antonios Michalopoulos, PhD, and Daniel Paramythiotis, PhD
- Subjects
Gastrocolic fistula ,Crohn's disease ,Emergency laparotomy ,Case report ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 - Abstract
Gastrointestinal fistulas constitute a rare type of abdominal fistula and an uncommon complication in the setting of Crohn's disease. In this case presentation we study the treatment of a gastrointestinal fistula between the transverse colon and the stomach in a patient with Crohn's disease and present a review of the available literature. A 53-year-old female patient with history of Crohn's disease presented to the Emergency Department of our Hospital due to reported abdominal pain and clinical symptoms of incomplete ileus with no other specific symptoms. Imaging investigation included plain radiography and computed tomography of the abdomen and revealed mural thickening of the transverse colon for an approximately 10 cm long segment, with the possible presence of gastrocolic fistula. During the exploratory laparotomy, an inflammatory mass was found in the middle of the transverse colon and the communication with the stomach was confirmed. Excision of the affected part of the transverse colon and cuneiform resection of the stomach in the area of the fistula was performed. The patient presented smooth and uncomplicated postoperative period and was discharged on the 10th postoperative day. Gastrointestinal fistulas are an uncommon complication of Crohn's disease, often with an intense clinical manifestation from the upper and lower digestive tract. Surgical treatment, either open or laparoscopic, of gastrointestinal fistulas due to Crohn's disease is the “gold-standard” method, both to control the disease and avoid further complications.
- Published
- 2022
- Full Text
- View/download PDF
6. Gastrocolic fistula caused by transverse colon cancer: a case report.
- Author
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Sugi, Tomoyuki, Kurata, Masanao, Furuta, Tomoaki, Ishibashi, Osamu, Inagawa, Satoshi, Ariga, Hiroyuki, Kashimura, Junya, Kawai, Hitomi, Takayashiki, Norio, and Oda, Tatsuya
- Subjects
COLON cancer ,CANCER relapse ,ADJUVANT chemotherapy ,FECES ,NEOADJUVANT chemotherapy ,GASTROPARESIS ,FISTULA - Abstract
Background: A gastrocolic fistula is an unusual communication between the colon and the stomach. Although colon cancer is the most common malignant cause of gastrocolic fistula in the Western world, the incidence of gastrocolic fistula due to colon cancer is 0.3% in operated cases. Case presentation: A 68-year-old man presented with anorexia, general malaise, weight loss, and vomiting of fecal matter. Investigations revealed that the patient had a large nonmetastatic splenic flexure tumor that was diagnosed as colon cancer and had invaded the stomach and pancreas. An upper gastrointestinal series confirmed a gastrocolic fistula. Left hemicolectomy, distal gastrectomy, distal pancreatectomy, and splenectomy were performed. Histology revealed transverse colon cancer, which was UICC stage (8th edition) pT4bN1bcM0 pStage IIIC. Adjuvant chemotherapy was not performed. There was no recurrence or metastasis one year after surgery. We reviewed 17 cases including our case of a gastrocolic fistula caused by colon cancer. Neoadjuvant chemotherapy was not given to any of the patients, and en bloc resections were conducted in all cases. Adjuvant chemotherapy was given to almost all of the patients. There was no recurrence or metastasis. Conclusions: For gastrocolic fistula caused by advanced colon cancer, secure en bloc surgical resection was the initial treatment in all 17 reported cases including the present case, and adjuvant chemotherapy may contribute to a better prognosis. [ABSTRACT FROM AUTHOR]
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- 2023
- Full Text
- View/download PDF
7. Transcolonic misplacement as a rare complication associated with PEG tube
- Author
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Marko Kozyk, Kateryna Strubchevska, and Mihaela Batke
- Subjects
gastrocolic fistula ,malposition ,percutaneous gastrostomy tube ,transcolonic misplacement ,Medicine ,Medicine (General) ,R5-920 - Abstract
Abstract PEG tube placement is a relatively safe procedure; however, complications sometimes occur. Our article will allow readers to visualize the uncommon complication of PEG ‐ a transcolonic misplacement.
- Published
- 2022
- Full Text
- View/download PDF
8. Benign Peptic Ulcer as a Cause of Gastrocolic Fistula.
- Author
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Haddadin R, Aboujamra D, Iqbal H, Trad G, and Ali A
- Abstract
Gastrocolic fistula is a rare complication and can occur in various conditions, most commonly gastric or colonic adenocarcinoma, followed by benign gastric ulcers secondary to nonsteroidal anti-inflammatory drug use. We report a case of an 82-year-old man with a benign peptic ulcer that led to a gastrocolic fistula, which was not associated with a history of nonsteroidal anti-inflammatory drug use or malignancy. The exact cause of this patient's gastrocolic fistula is unclear, but the patient's medical history of microscopic lymphocytic colitis may have increased his risk of fistula formation., (© 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.)
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- 2024
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- View/download PDF
9. Acute Necrotizing Pancreatitis Presenting as Gastrocolic Fistula: A Rare Occurrence.
- Author
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Pawar T, Reddy H, Kumar S, Acharya S, and Kirnake V
- Abstract
Tissue necrosis and ischemia are hallmarks of acute necrotizing pancreatitis, which frequently results in fatal infections. In this case, we describe a man in his 40s who had diffuse pain in the abdomen, intractable vomiting, diarrhoea, and intermittent fever. His abdominal computed tomography revealed acute pancreatitis with peripancreatic fluid collection, gastric perforation, and fistula formation between the greater curvature of the stomach and transverse colon. His upper gastrointestinal (GI) endoscopy confirmed a gastrocolic fistula., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2024, Pawar et al.)
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- 2024
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10. Giant diverticulum of the transverse colon mimicking gastrocolic fistula: A case report.
- Author
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Sofii, Imam, Pua Upa, Amal Fathullah, and Gunadi
- Abstract
• Differentiating giant colonic diverticulum and gastrocolic fistula with similar clinical courses may necessitate multiple investigations. • Symptoms that have been present from childhood may be related to congenital etiology. • Because of the risk of colonic closure breakdown and the possibility of recurrence of GCD, colectomy seems to be the best option. Giant transverse colonic diverticula are a rare case of giant colonic diverticulum (GCD). Instead of being asymptomatic, bleeding, inflammation, and perforation may result in fistula formation and require surgery. This type of diverticulum is thought to be closely related to the gastrocolic fistula (GCF). We report a 26-year-old female presenting severe abdominal pain accompanied by nausea and vomiting and a history of constipation since childhood. The patient felt a mass around the epigastric region and extends to the right hypochondrium. Enema contrast examination showed a large diverticulum in the transverse colon. CT scan revealed a 21.4 × 8.4 cm structure with air-filled structures visible from the transverse colon filled with contrast material, suggesting a possible gastrocolic fistula. Resection was performed on the diverticulum and 20 cm in length of the transverse colon, followed by side-to-side anastomosis. Histopathological findings were type III GCD. The patient was discharged without complications 1 week later. Giant diverticulum is characterized by a diverticulum with 4 cm or more in length. Our case was a diverticulum from the central portion of the transverse colon with 25 × 9 × 3 cm in length and type III GCD. Resection was performed on the diverticulum and 20 cm in length of the transverse colon, followed by side-to-side anastomosis. Differentiating GCD and GCF with similar clinical course may necessitate multiple investigation before establishing the correct diagnosis. We suggest colectomy followed by side-to-side anastomosis is the best option of treatment for GCD. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
11. Gastro-cholecysto-colic fistula. Case report of an idiopathic case, and management approach.
- Author
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Irwin, Shane, Donlon, Noel Edward, Mohan, Helen, and Reynolds, John V
- Subjects
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INFLAMMATORY bowel diseases , *FISTULA , *COLON (Anatomy) - Abstract
A 71-year-old lady presented with a 4-week-history of epigastric pain, feculent vomiting, diarrhoea and weight-loss. On subsequent investigations, she was found to have a complex gastro-cholecysto-colic fistula with no clear underlying aetiology. The only abnormality both macroscopically and microscopically was ulceration and inflammation in the colon. However, this was not pathognomonic of inflammatory bowel disease, and (gastric) acid-induced inflammation is an alternative explanation. Herein we present her case, her comprehensive evaluation, her successful surgical management and a review of the relevant literature. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
12. Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy Combined with CT-GC
- Author
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Kazuya Kato, Yoshiaki Iwasaki, Kazuhiko Onodera, Minoru Matsuda, Mineko Higuchi, Kimitaka Kato, Yurina Kato, Masahiko Taniguchi, and Hiroyuki Furukawa
- Subjects
percutaneous endoscopic gastrostomy (peg) ,laparoscopic surgery ,laparoscopic-assisted peg (lapeg) ,iatrogenic colic perforation ,gastrocolic fistula ,ct-gastrocolonography (ct-gc) ,Surgery ,RD1-811 - Abstract
Purpose: Despite the widespread use of percutaneous endoscopic gastrostomy (PEG) tubes, their placement may be associated with a variety of complications, including gastrocolic fistula. Materials and Methods: In total, seven high-risk individuals diagnosed using computed tomography (CT)-gastrocolonography (GC) underwent laparoscopic-assisted PEG (LAPEG) placement. Study endpoints included the success of LAPEG under local anesthetic and intravenous sedation, inability to thread the PEG tube, the eventual tube location, the number of tube adjustments needed, adverse events, the operating time, and PEG tube-related infection. Results: In total, 135 PEG procedures were performed during this study. Successful CT-GC was achieved in all 135 patients, and we successfully used a standard PEG technique to place the gastrostomy tube in 128 patients (95%). In seven patients (5%), the LAPEG technique was used because the transverse colon became interposed between the abdominal wall and the anterior wall of the stomach. LAPEG procedure-related minor complications were observed in two patients. Conclusions: LAPEG combined with CT-GC can be used for patients with difficult anatomical orientations and may minimize the risk of complications in PEG placement.
- Published
- 2017
- Full Text
- View/download PDF
13. Gastrocolic Fistula Presented as an Early Complication of Gastric Surgery in a 42-year-old Man
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Mohammad Javad Zahedi, Sara Shafiei pour, Masood Dehghani, and Nazanin Eslami
- Subjects
Gastrocolic fistula ,Gastric surgery ,Peptic ulcer ,Complications ,Medicine - Abstract
Currently, surgery is less needed for the treatment of refractory peptic ulcer disease (PUD) or its complications. So, the complications of PUD surgery have been clearly declined. Here in, we present a 42-year-old man with chronic watery diarrhea and significant weight loss during 2 years after gastrojejunostomy for the treatment of obstructive PUD. Small bowel gastrointestinal series showed rapid transit without passage of contrast in the parts of small bowel. The patient was scheduled for exploratory laparotomy. During the surgery a large fistula was detected between the stomach and transverse colon, which was repaired. At the follow-up 6 months after the surgery, the patient did not have any history of recurrence of diarrhea and had 10 kg weight gain. Gastrocolic fistula is a very rare complication of surgical management of PUD. Barium enema is the most helpful imaging procedure for the diagnosis of gastrocolic fistula and surgery after correction of nutritional status is suggested especially for malnourished patients.
- Published
- 2017
- Full Text
- View/download PDF
14. Gastric Migration of Colonic Self‑expanding Metal Stent: Rare Complication Postcolonic Stenting
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Sridhar Sundaram, Srijan Mazumdar, Prachi Patil, and Shaesta Mehta
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colonic self‑expanding metal stent ,gastrocolic fistula ,migration of colonic stent ,Diseases of the digestive system. Gastroenterology ,RC799-869 - Abstract
Colonic self‑expanding metal stent (SEMS), although associated with high technical and functional success in malignant colonic obstruction, may be associated with complications such as migration. Furthermore, fistulous tract formation with SEMS in situ has been reported only in few case reports previously. Here, we present a case of colonic SEMS migrating through a gastrocolic fistula into the stomach. There are no previous reports of migration of a colonic SEMS into a proximal segment of the gastrointestinal tract.
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- 2018
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15. Robot‐assisted surgery and endoscopic management of gastrocolic fistula: A rare complication of acute pancreatitis in a patient who had undergone sleeve gastrectomy.
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Montoya‐Ramírez, Jesús, Aguilar‐Espinosa, Francisco, Gutiérrez‐Salinas, José, Blas‐Azotla, Ricardo, and Aguilar‐Soto, Oscar A
- Subjects
- *
SURGICAL robots , *SLEEVE gastrectomy , *FISTULA , *ESOPHAGOGASTRIC junction , *PANCREATITIS , *ENDOSCOPIC surgery , *ENDOSCOPIC retrograde cholangiopancreatography - Abstract
Ten years after undergoing sleeve gastrectomy, a 39‐year‐old man developed pancreatitis and, after recovery, presented with severe diarrhea. An image study showed barium contrast passing from the stomach to the colon. Before surgery, initial treatment consisted of parenteral nutrition and antibiotics. The patient then underwent robot‐assisted resection of a gastrocolic fistula and omentoplasty. However, 72 h after surgery, the amount of suction drainage suggested that the fistulous track repair was leaking. Therefore, we decided to perform endoscopy to place a self‐expanding covered stent at the gastroesophageal junction as well as a nasojejunal tube to continue nutritional supplementation. After the patient had fasted for 2 weeks, there was no evidence of leakage in the image studies. The patient was discharged after he had clinically improved, and the stent was removed at the end of 8 weeks. The combination of robot‐assisted surgery and endoscopic management is effective for treating gastrocolic fistula. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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16. Gastric–transverse colon fistulas are difficult to diagnose owing to proximal gastric ulcers: a case report (Case Report)
- Author
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Koyama, Muneyuki, Shiba, Hiroaki, Yamahata, Yuto, Lee, Lulu, Odaka, Minako, Otsuka, Sho, Kaneda, Yosuke, Ohkuma, Masahisa, and Eto, Ken
- Subjects
gastrocolic fistula ,gastroendoscopy ,giant ulcer - Abstract
article
- Published
- 2022
17. Transcolonic misplacement as a rare complication associated with PEG tube.
- Author
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Kozyk, Marko, Strubchevska, Kateryna, and Batke, Mihaela
- Subjects
- *
POLYETHYLENE glycol , *PERCUTANEOUS endoscopic gastrostomy , *TUBES , *GASTROSTOMY - Abstract
PEG tube placement is a relatively safe procedure; however, complications sometimes occur. Our article will allow readers to visualize the uncommon complication of PEG ‐ a transcolonic misplacement. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
18. Chronische Bauchschmerzen – Folge einer seltenen gastrointestinalen Fehlbildung?
- Author
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Brinkmann, J.E., Alrefai, M., Senkal, M., Schmidt-Choudhury, A., Schmidt, W. E., Tannapfel, A., and Seul, R.
- Published
- 2021
- Full Text
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19. Gastrocolic fistula after laparoscopic sleeve gastrectomy: Case report and literature review.
- Author
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Mirza Gari, M. Khalid, Foula, Mohammed S., Eldamati, Ahmed, Alshomimi, Saeed, and Zakaria, Hazem
- Abstract
• Leakage after sleeve gastrectomy is the cornerstone for most of its related morbidity and mortality. • Gastrocolic fistula is a rare complication resulting from chronic leak after laparoscopic sleeve gastrectomy. • A high index of suspicion is important in detection of rare complications including gastrocolic fistula. • Complete laparoscopic resection of gastrocolic fistula is preferred. • Gastrectomy might be the definitive surgery. • Re-do bariatric surgery should be only done by an expert bariatric surgeon with multidisciplinary team in a specialized center. Laparoscopic sleeve gastrectomy is a popular bariatric procedure. Leakage after sleeve gastrectomy is the cornerstone for most of its related morbidity and mortality. Gastrocolic fistula is a rare complication resulting from chronic leak after laparoscopic sleeve gastrectomy. We report a case of 32-year-old male who underwent laparoscopic re-sleeve gastrectomy for weight regain after initial uneventful laparoscopic sleeve gastrectomy 3 years back. He presented to emergency department by septic shock secondary to leakage after sleeve gastrectomy. CT abdomen with IV contrast and oral gastrograffin confirmed post sleeve gastrectomy leak. Emergency diagnostic laparoscopy revealed a huge abscess cavity containing pus and dark fecal material and altered blood. A long leak was identified with eversion of gastric mucosa. Tubular structure connecting the upper part of the stomach and the colon was found which turned out to be a gastrocolic fistula. It was controlled by endoscopic linear stapler. After 6 weeks, a definitive open esophago-jeujonostomy with total gastrectomy was done successfully after difficult attempt of laparoscopic intervention. The patient was discharged home in a stable condition. A high index of suspicion is important in detection of rare complications after laparoscopic sleeve gastrectomy including gastrocolic fistula. Complete laparoscopic resection of gastrocolic fistula is preferred. Gastrectomy might be the definitive surgery. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
20. A novel silk suture-assisted laparoscopic technique for the repair of a gastrocolic fistula in a pediatric patient
- Author
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Seher Mughal, Aly Shalaby, Joseph Curry, Paolo De Coppi, and Kate Cross
- Subjects
Gastrocolic fistula ,Laparoscopy ,Pediatric ,Pediatrics ,RJ1-570 ,Surgery ,RD1-811 - Abstract
Percutaneous placement of gastrostomy was first described in 1980. Since then it has become widely used in pediatric surgery throughout the world. Inherent in the technique is the possibility of inadvertent damage to adjacent anatomical structures, most commonly the transverse colon. Management previously had involved laparotomy and correction of the gastrocolic fistula. Here we describe a novel laparoscopic approach to the repair of a gastrocolic fistula following percutaneous gastrostomy, avoiding the morbidity of laparotomy in an immunocompromised patient with a rotund abdomen secondary to steroid usage.
- Published
- 2016
- Full Text
- View/download PDF
21. Giant diverticulum of the transverse colon mimicking gastrocolic fistula: A case report
- Author
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Imam Sofii, Amal Fathullah Pua Upa, and Gunadi
- Subjects
Abdominal pain ,medicine.medical_specialty ,Fistula ,medicine.medical_treatment ,Perforation (oil well) ,Case Report ,Anastomosis ,digestive system ,03 medical and health sciences ,0302 clinical medicine ,Epigastric Region ,Medicine ,Colectomy ,business.industry ,Diverculectomy ,Transverse colon ,medicine.disease ,digestive system diseases ,Gastrocolic fistula ,030220 oncology & carcinogenesis ,030211 gastroenterology & hepatology ,Surgery ,Radiology ,medicine.symptom ,Giant transverse colon diverticulum ,business ,Diverticulum - Abstract
Highlights • Differentiating giant colonic diverticulum and gastrocolic fistula with similar clinical courses may necessitate multiple investigations. • Symptoms that have been present from childhood may be related to congenital etiology. • Because of the risk of colonic closure breakdown and the possibility of recurrence of GCD, colectomy seems to be the best option., Introduction Giant transverse colonic diverticula are a rare case of giant colonic diverticulum (GCD). Instead of being asymptomatic, bleeding, inflammation, and perforation may result in fistula formation and require surgery. This type of diverticulum is thought to be closely related to the gastrocolic fistula (GCF). Presentation of case We report a 26-year-old female presenting severe abdominal pain accompanied by nausea and vomiting and a history of constipation since childhood. The patient felt a mass around the epigastric region and extends to the right hypochondrium. Enema contrast examination showed a large diverticulum in the transverse colon. CT scan revealed a 21.4 × 8.4 cm structure with air-filled structures visible from the transverse colon filled with contrast material, suggesting a possible gastrocolic fistula. Resection was performed on the diverticulum and 20 cm in length of the transverse colon, followed by side-to-side anastomosis. Histopathological findings were type III GCD. The patient was discharged without complications 1 week later. Discussion Giant diverticulum is characterized by a diverticulum with 4 cm or more in length. Our case was a diverticulum from the central portion of the transverse colon with 25 × 9 × 3 cm in length and type III GCD. Resection was performed on the diverticulum and 20 cm in length of the transverse colon, followed by side-to-side anastomosis. Conclusion Differentiating GCD and GCF with similar clinical course may necessitate multiple investigation before establishing the correct diagnosis. We suggest colectomy followed by side-to-side anastomosis is the best option of treatment for GCD.
- Published
- 2020
22. Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy Combined with CT-GC.
- Author
-
Kato, Kazuya, Iwasaki, Yoshiaki, Onodera, Kazuhiko, Matsuda, Minoru, Higuchi, Mineko, Kato, Kimitaka, Kato, Yurina, Taniguchi, Masahiko, and Furukawa, Hiroyuki
- Subjects
- *
PERCUTANEOUS endoscopic gastrostomy , *COMPUTED tomography , *LAPAROSCOPIC surgery , *GASTROSTOMY , *ABDOMINAL wall - Abstract
Purpose: Despite the widespread use of percutaneous endoscopic gastrostomy (PEG) tubes, their placement may be associated with a variety of complications, including gastrocolic fistula.Materials and Methods: In total, seven high-risk individuals diagnosed using computed tomography (CT)-gastrocolonography (GC) underwent laparoscopic-assisted PEG (LAPEG) placement. Study endpoints included the success of LAPEG under local anesthetic and intravenous sedation, inability to thread the PEG tube, the eventual tube location, the number of tube adjustments needed, adverse events, the operating time, and PEG tube-related infection.Results: In total, 135 PEG procedures were performed during this study. Successful CT-GC was achieved in all 135 patients, and we successfully used a standard PEG technique to place the gastrostomy tube in 128 patients (95%). In seven patients (5%), the LAPEG technique was used because the transverse colon became interposed between the abdominal wall and the anterior wall of the stomach. LAPEG procedure-related minor complications were observed in two patients.Conclusions: LAPEG combined with CT-GC can be used for patients with difficult anatomical orientations and may minimize the risk of complications in PEG placement. [ABSTRACT FROM PUBLISHER]
- Published
- 2017
- Full Text
- View/download PDF
23. Gastrocolic Fistula Presented as an Early Complication of Gastric Surgery in a 42-year-old Man.
- Author
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Zahedi, Mohammad Javad, pour, Sara Shafiei, Dehghani, Masood, and Eslami, Nazanin
- Subjects
- *
ABDOMINAL surgery , *BARIUM enema , *CHRONIC diseases , *COLON (Anatomy) , *DIARRHEA , *GASTRIC fistula , *GASTROINTESTINAL system , *PEPTIC ulcer , *STOMACH , *SURGICAL complications , *WEIGHT loss , *NUTRITIONAL status ,DIGESTIVE organ surgery - Abstract
Currently, surgery is less needed for the treatment of refractory peptic ulcer disease (PUD) or its complications. So, the complications of PUD surgery have been clearly declined. Here in, we present a 42-year-old man with chronic watery diarrhea and significant weight loss during 2 years after gastrojejunostomy for the treatment of obstructive PUD. Small bowel gastrointestinal series showed rapid transit without passage of contrast in the parts of small bowel. The patient was scheduled for exploratory laparotomy. During the surgery a large fistula was detected between the stomach and transverse colon, which was repaired. At the follow-up 6 months after the surgery, the patient did not have any history of recurrence of diarrhea and had 10 kg weight gain. Gastrocolic fistula is a very rare complication of surgical management of PUD. Barium enema is the most helpful imaging procedure for the diagnosis of gastrocolic fistula and surgery after correction of nutritional status is suggested especially for malnourished patients. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
24. Gastrocolic fistula in Crohn’s disease detected by oral agent contrast-enhanced ultrasound: A case report of a novel ultrasound modality
- Author
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Jie-Ying Zhao, Hua Zhuang, Yu-Fang Wang, and Shuang Wu
- Subjects
Adult ,Gastric Fistula ,Crohn’s disease ,medicine.medical_specialty ,Abdominal Abscess ,genetic structures ,Colon ,Administration, Oral ,Contrast Media ,Gastrocolic fistula ,Colonic Diseases ,03 medical and health sciences ,0302 clinical medicine ,Crohn Disease ,Gastrectomy ,Colostomy ,Gastroscopy ,Ultrasound ,Case report ,otorhinolaryngologic diseases ,medicine ,Humans ,Ultrasonography, Doppler, Color ,Crohn's disease ,Missed Diagnosis ,Dioscorea ,business.industry ,Stomach ,Gastroenterology ,Oral agent ,General Medicine ,medicine.disease ,digestive system diseases ,Abdominal Pain ,Oral agents ,030220 oncology & carcinogenesis ,Drainage ,Female ,030211 gastroenterology & hepatology ,Radiology ,Tomography, X-Ray Computed ,Complication ,business ,psychological phenomena and processes ,Contrast-enhanced ultrasound - Abstract
BACKGROUND Fistulas are common complications of Crohn’s disease (CD). Gastrocolic fistulas (GFs) are rare, occult and potentially life-threatening complications. Few cases of GFs have been reported. Oral agent contrast-enhanced ultrasound (OA-CEUS) is a novel technique of ultrasound (US) for gut. Contrast agent made by Chinese yam is taken orally to dilate the lumen of the upper gastrointestinal tract. Thus, the impediment of gas inside gastrointestinal tract is removed and a good acoustic window is provided for gastroin-testinal tract scanning. This paper describes a case of GF secondary to CD detected by OA-CEUS when it was missed by endoscopy and computed tomography (CT). To our knowledge, this is the first report of GF secondary to CD detected by OA-CEUS up to date. CASE SUMMARY A 29-year-old woman with a 6-year history of CD was admitted to our hospital for abdominal pain and diarrhea for 5 months without obvious predisposing causes. Initial gastroscopy failed to show any evidence of lesions. Colonoscopy revealed multiple erosions, mucosal nodularity, linear ulcers and a cobblestone appearance. A CT scan of her abdomen showed a complex multilocular structure adherent to the greater curvature of the stomach in her left lower abdomen, with fluid, gas and significant surrounding inflammation. CT also demonstrated an abdominal abscess, which was later treated with US-guided drainage. Colonoscopy, gastroscopy and CT missed the presence of a GF. OA-CEUS was performed. A contrast agent made from Chinese yam was taken orally to dilate the lumen of the gastrointestinal tract. A good acoustic window was provided for gastrointestinal tract scanning and the impediment of gas inside the gastrointestinal tract was removed. With the aid of the “window”, a canal with hypoechoic wall was identified connecting the greater curvature of stomach to the splenic colon flexure in free sections. We also observed the hyperechoic gas flowing dynamically inside the canal. Thus, a GF was suspected. US is the first imaging modality taking GF into account. At the same time, OA-CEUS identified the site of the fistula and its two orifices. Gastroscopy was performed again, revealing a small ulcer approximately 5 mm in diameter, which was considered as an orifice. On the basis of OA-CEUS and other examinations, the patient was diagnosed with a GF secondary to CD. Then, laparoscopic exploration, partial stomach resection, transverse colostomy and abdominal abscess drainage were performed. The patient recovered uneventfully. CONCLUSION GFs are rare, occult and potentially life-threatening complications in CD. US is one of the first-line modalities to evaluate CD and its complications. OA-CEUS, a novel technique of US for gut, may be helpful in reducing the possibility of a missed diagnosis of GF.
- Published
- 2020
25. Gastrocolic fistula: a case report
- Author
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Luc E. Barberini, Niels Gobin, Sonaz Malekzadeh, Christophe Constantin, Philippe Renard, and Daniele Frisone
- Subjects
medicine.medical_specialty ,business.industry ,Medicine ,Gastrocolic fistula ,General Medicine ,business ,Surgery - Published
- 2020
26. Current Diagnosis and Management of Gastrojejunocolic Fistula
- Author
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Can Kece, Tahsin Dalgic, Isılay Nadir, Behlul Baydar, Gurel Nessar, Burhan Ozdil, and E.Birol Bostanci
- Subjects
Recurrent peptic ulcer ,Gastrojejunocolic fistula ,Gastrectomy ,Gastrocolic fistula ,Diseases of the digestive system. Gastroenterology ,RC799-869 - 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.
- Published
- 2010
- Full Text
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27. Malposition of percutaneous endoscopic-guided gastrostomy: Guideline and management
- Author
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Milanchi Siamak and Wilson Matthew
- Subjects
Gastrocolic fistula ,gastrocutaneous fistula ,percutaneous endoscopic-guided gastrostomy ,Surgery ,RD1-811 ,Diseases of the digestive system. Gastroenterology ,RC799-869 - Abstract
Percutaneous endoscopic-guided gastrostomy (PEG) is done routinely on patients who suffer from inability to feed by mouth. PEG is generally considered a safe procedure with a low complication rate. A commonly underreported complication of PEG is malposition. This manuscript is a guideline to diagnosis and management of PEG malposition. We describe the different types of malposition, their diagnosis and management.
- Published
- 2008
28. Gastro-colic Fistula: a Rare Complication of a Marginal Ulcer Following One Anastomosis Gastric Bypass
- Author
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Sakran, Nasser, Gralnek, Ian, Hamoud, Mohamad, and Dar, Ron
- Published
- 2021
- Full Text
- View/download PDF
29. Gastroscope Meeting the Colonoscope: A Rare Complication After Billroth II Gastrojejunostomy.
- Author
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Abulawi A, Liu J, Bui R, and Batool A
- Published
- 2023
- Full Text
- View/download PDF
30. Gastrocolic Fistula Management in a Pregnant Patient
- Author
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Bader Abuhazeem, Abdallah Qasim, Erin Jenkins, and Haitam M. Buaisha
- Subjects
Surgical repair ,medicine.medical_specialty ,business.industry ,Pregnant patient ,Fistula ,Stomach ,Upper endoscopy ,digestive, oral, and skin physiology ,Gastrocolic fistula ,Case Report ,General Medicine ,medicine.disease ,Pyloroplasty ,digestive system diseases ,Surgery ,Malnutrition ,medicine.anatomical_structure ,medicine ,business - Abstract
We present a case of a pregnant woman admitted for malnutrition secondary to a large gastrocolic fistula (GCF). She has a history of perforated duodenal ulcer that required surgical pyloroplasty 6 years ago. This fistula was diagnosed on the gastrointestinal barium series showing direct transit of barium from the stomach to the colon. An upper endoscopy showed a large gastrocolonic fistula with stool leaking to the stomach. Her nutrition was optimized, then she underwent surgical repair. GCF is suspected in the patient presenting with malnutrition with a history of intra-abdominal surgery.
- Published
- 2021
31. Gastric migration of colonic self-expanding metal stent: Rare complication postcolonic stenting.
- Author
-
Sundaram, Sridhar, Mazumdar, Srijan, Patil, Prachi, and Mehta, Shaesta
- Subjects
- *
SURGICAL stents , *COLON surgery , *FISTULA , *METASTASIS , *CANCER chemotherapy - Abstract
Colonic self-expanding metal stent (SEMS), although associated with high technical and functional success in malignant colonic obstruction, may be associated with complications such as migration. Furthermore, fistulous tract formation with SEMS in situ has been reported only in few case reports previously. Here, we present a case of colonic SEMS migrating through a gastrocolic fistula into the stomach. There are no previous reports of migration of a colonic SEMS into a proximal segment of the gastrointestinal tract. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
32. Gastrocolic fistula after laparoscopic sleeve gastrectomy: Case report and literature review
- Author
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Hazem M Zakaria, M. Khalid Mirza Gari, Saeed Alshomimi, Ahmed Eldamati, and Mohammed S. Foula
- Subjects
medicine.medical_specialty ,Leak ,Sleeve gastrectomy ,Complications ,medicine.medical_treatment ,Fistula ,Gastrocolic fistula ,Article ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Bariatric surgery ,business.industry ,Stomach ,Emergency department ,medicine.disease ,Surgery ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,030211 gastroenterology & hepatology ,Gastrectomy ,business ,Complication ,Leakage - Abstract
Highlights • Leakage after sleeve gastrectomy is the cornerstone for most of its related morbidity and mortality. • Gastrocolic fistula is a rare complication resulting from chronic leak after laparoscopic sleeve gastrectomy. • A high index of suspicion is important in detection of rare complications including gastrocolic fistula. • Complete laparoscopic resection of gastrocolic fistula is preferred. • Gastrectomy might be the definitive surgery. • Re-do bariatric surgery should be only done by an expert bariatric surgeon with multidisciplinary team in a specialized center., Introduction Laparoscopic sleeve gastrectomy is a popular bariatric procedure. Leakage after sleeve gastrectomy is the cornerstone for most of its related morbidity and mortality. Gastrocolic fistula is a rare complication resulting from chronic leak after laparoscopic sleeve gastrectomy. Case presentation We report a case of 32-year-old male who underwent laparoscopic re-sleeve gastrectomy for weight regain after initial uneventful laparoscopic sleeve gastrectomy 3 years back. He presented to emergency department by septic shock secondary to leakage after sleeve gastrectomy. CT abdomen with IV contrast and oral gastrograffin confirmed post sleeve gastrectomy leak. Emergency diagnostic laparoscopy revealed a huge abscess cavity containing pus and dark fecal material and altered blood. A long leak was identified with eversion of gastric mucosa. Tubular structure connecting the upper part of the stomach and the colon was found which turned out to be a gastrocolic fistula. It was controlled by endoscopic linear stapler. After 6 weeks, a definitive open esophago-jeujonostomy with total gastrectomy was done successfully after difficult attempt of laparoscopic intervention. The patient was discharged home in a stable condition. Conclusion A high index of suspicion is important in detection of rare complications after laparoscopic sleeve gastrectomy including gastrocolic fistula. Complete laparoscopic resection of gastrocolic fistula is preferred. Gastrectomy might be the definitive surgery.
- Published
- 2019
33. Hallazgo sincrónico de un cuerpo extraño en colon y una fístula gastrocólica de etiología maligna
- Author
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Pablo Cañamares, Daniel Abad, Nuria Saura, María Alexia Sanz Hernández, Viviana Laredo, Angel Ferrandez, Enrique Alfaro, Sandra García Mateo, Gonzalo Hijos, and Raúl Velamazán
- Subjects
medicine.medical_specialty ,Hepatology ,business.industry ,General surgery ,Gastroenterology ,medicine ,Gastrocolic fistula ,Foreign body ,medicine.disease ,business - Published
- 2021
34. Abdominal Pain and Diarrhea in Peptic Ulcer Disease.
- Author
-
Sharma, Shweta, Bhatia, Rajesh, and Vasudevan, Abhinav
- Published
- 2021
- Full Text
- View/download PDF
35. Gastrocolic fistula secondary to primary gastric lymphoma
- Author
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Toufik Berri
- Subjects
gastrocolic fistula ,gastric lymphoma ,stomach ,Medicine - Abstract
Gastrocolic fistula (GCF) is an abnormal communication between a portion of the stomach and the transverse colon. It is a rare entity and could be due to benign or malignant disease. The gastric or colonic adenocarcinoma is the most common malignant cause, while lymphoma is rarely reported. The cornerstone for detecting the fistula remains the barium enema. Barium meal and computed tomography are alternatives for the diagnosis. Gastroscopy and colonoscopy are not first-line examinations to bring out the GCF, but they must be used to obtain cytological and biopsy materials. The therapy for GCF remains surgical.A 36-year-old woman had a non-Hodgkin-s gastric lymphoma for 15 years ago treated by chemotherapy. After complete remission, she presented with abdominal pain, fecal halitosis, feculent vomiting, chronic diarrhea and weight loss of 15 kg. A palpable mass in the left hypochondriac region was found on abdominal examination. Gastroscopy revealed a vegetating tumor on the fundus with fistulous orifice in the great curvature of the stomach. Barium meal showed early opacification of the colon and a fistula between the stomach and transverse colon (A). Abdominal CT demonstrated a wall thickening of the great curvature of the stomach with GCF (B). There is neither adjacent nor distant involvement by the lymphoma. According to Lugano staging system, the lymphoma was classified as stage IIE. The patient was prepared for an end bloc resection of the involved stomach and colon but she died before undergoing the operation.
- Published
- 2014
- Full Text
- View/download PDF
36. Diffuse large B-cell lymphoma presenting with gastrocolic fistula and successfully treated with R-CHOP chemotherapy
- Author
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Hirotaka Tomimatsu, Hitoshi Ohno, Nobushiro Nishimura, Katsuhiro Fukutsuka, Futoshi Iioka, Gen Honjo, and Fusako Kusumi
- Subjects
medicine.medical_specialty ,business.industry ,Computed Tomography Colonography ,R-CHOP chemotherapy ,Medicine ,Gastrocolic fistula ,Radiology ,business ,medicine.disease ,Diffuse large B-cell lymphoma - Published
- 2018
37. A case of gastrocolic fistula secondary to adenocarcinoma of the colon.
- Author
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Zhou, BiaoHuan and Li, WeiHua
- Abstract
Introduction Gastrocolic fistula secondary to colon carcinoma is a rare entity. The common cause of gastrocolic fistula is different between eastern and western countries. Gastrocolic fistula may present many manifestations. Presentation of case We present a case report of gastrocolic fistula in a 59-year-old male patient with colon adenocarcinoma, diagnosed on digestive endoscopy, CT scanning and barium enema. Radical en-bloc surgery was undertaken based on patient’s symptom, the size and the nature of the tumor. Discussion The typical symptoms of gastrocolic fistula include abdominal pain, vomiting, diarrhea, emaciation, anemia, hypoaluminemia, weight loss and ascites. There are many methods to diagnose gastrocolic fistula, but barium enema is the most accepted way nowadays. Conclusion It is rare for gastrocolic fistula case to be caused by colon adenocarcinoma, and has been rarely reported inside China. The best therapy of gastrocolic fistula remains radical en-bloc surgery. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
38. Computed tomography-gastro-colonography for percutaneous endoscopic gastrostomy using a helical computed tomography.
- Author
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Kazuya Kato, Masahiko Taniguchi, Yoshiaki Iwasaki, Keita Sasahara, Atsushi Nagase, Kazuhiko Onodera, Minoru Matsuda, Yuhei Inaba, Takako Kawakami, Mineko Higuchi, Yuko Kobashi, and Hiroyuki Furukawa
- Subjects
- *
ENDOSCOPIC gastrointestinal surgery , *COLONOSCOPY , *GASTROSTOMY , *SPIRAL computed tomography , *FISTULA - Abstract
BACKGROUND: Despite the widespread use of percutaneous endoscopic gastrostomy (PEG) tubes, their placement may be associated with a variety of complications, including gastrocolic fistula. METHODS: In total, 48 individuals underwent computed tomography-gastro-colonography (CTGC)- guided PEG placement. Study end points included success of CT-GC, inability to thread the PEG tube, the eventual tube location, tube adjustments needed, adverse events, operating time, and PEG tube-related infection. RESULTS: A successful CT-GC was achieved in all 48 patients (100%), and we successfully used a standard PEG technique to place the gastrostomy tube in 44 patients (92%). In 4 patients (8%), the laparoscopic-assisted PEG technique was used because the transverse colon became interposed between the abdominal wall and the anterior wall of the stomach. The overall procedure-related minor complication rate was 8%. CONCLUSION: CT-GC is an optional method for the estimation of intra-abdominal, anatomical orientations that may minimize the risk of complications before PEG placement. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
39. Gastrocolic Fistula: An Extraordinary Gastrointestinal Fistula.
- Author
-
Mansour S, Marjiyeh-Awwad R, and Khuri S
- Abstract
Gastrocolic (GC) fistula, a rare gastrointestinal pathological condition, is defined as an abnormal connection between the stomach and the colon. Mostly, it involves the greater curvature of the stomach and the transverse part of the colon. Its precise incidence rate is unknown and largely differs between western and eastern nations. Etiological causes differ as well between the two worlds. Although several precipitating diseases are reported, nowadays, the most common causes are malignant diseases of the stomach (eastern countries) and colon (western world). Patients with GC fistulas usually present late and complain mainly of vomiting, diarrhea, and severe weight loss. This in turn leads to malnutrition, vitamin deficiencies and electrolyte disturbances. Being a rare condition, and usually forgotten, diagnosis is usually challenging to the treating physicians. Workup usually involves a combination of radiological and endoscopic tests. Long-term survival is unknown, and patients usually have poor prognosis. The aim of this review is to summarize the relevant articles in the English literature for this abnormal medical condition, with emphasis on the different etiologies, pathogenesis, clinical presentation, and management, in order to increase physicians' awareness of such uncommon medical problem., Competing Interests: The authors have no conflict of interest to declare., (Copyright 2022, Mansour et al.)
- Published
- 2022
- Full Text
- View/download PDF
40. S3131 An Unusual Case of Postprandial Diarrhea: Gastrocolic Fistula from Gastric Band Erosion
- Author
-
Surachai Amornsawadwattana, Parth Patel, and Parth Shah
- Subjects
Gastric band ,medicine.medical_specialty ,Unusual case ,Hepatology ,business.industry ,Internal medicine ,Gastroenterology ,medicine ,Gastrocolic fistula ,business ,Postprandial diarrhea - Published
- 2021
41. Abdominal Pain and Diarrhea in Peptic Ulcer Disease
- Author
-
Abhinav Vasudevan, Rajesh Bhatia, and Shweta Sharma
- Subjects
medicine.medical_specialty ,Abdominal pain ,Hepatology ,business.industry ,Gastroenterology ,Gastrocolic fistula ,Disease ,medicine.disease ,Hematochezia ,Diarrhea ,Internal medicine ,Peptic ulcer ,medicine ,medicine.symptom ,business - Published
- 2021
42. Gastrocolic fistula: an unusual presentation of colon cancer
- Author
-
Marcos Leites, Adrián Canavesi, Rodrigo Dorelo, and Joaquín Berrueta
- Subjects
Gastric Fistula ,medicine.medical_specialty ,Colorectal cancer ,business.industry ,Colon ,General surgery ,Gastroenterology ,Gastrocolic fistula ,medicine.disease ,Colonic Diseases ,Colonic Neoplasms ,medicine ,Intestinal Fistula ,Humans ,Presentation (obstetrics) ,business - Published
- 2021
43. Elderly male patient with gastrocolic fistula following severe acute necrotising pancreatitis
- Author
-
Sadhana Beaty, Dhilip Andrew, Jovis Johny, and Karthik Shyam
- Subjects
0301 basic medicine ,Tachycardia ,Gastric Fistula ,Male ,medicine.medical_specialty ,Abdominal pain ,Images In… ,Gastrocolic fistula ,Necrotising pancreatitis ,030105 genetics & heredity ,03 medical and health sciences ,Colonic Diseases ,0302 clinical medicine ,Weight loss ,medicine ,Intestinal Fistula ,Humans ,business.industry ,Pancreatitis, Acute Necrotizing ,Acute necrotising pancreatitis ,General Medicine ,Middle Aged ,Surgery ,Male patient ,medicine.symptom ,business ,Tomography, X-Ray Computed ,030217 neurology & neurosurgery - Abstract
A 60-year-old male patient presented to the Emergency Room (ER) with a history of diarrhoea with abdominal pain for 2 weeks and weight loss of 3 kg over 1 month, the patient had a history of necrotising pancreatitis a month ago. On examination, patient was afebrile with tachycardia, tachypnoea
- Published
- 2021
44. Gastro-colic Fistula: a Rare Complication of a Marginal Ulcer Following One Anastomosis Gastric Bypass
- Author
-
Nasser Sakran, Ian M. Gralnek, Mohamad Hamoud, and Ron Dar
- Subjects
medicine.medical_specialty ,Nutrition and Dietetics ,business.industry ,Endocrinology, Diabetes and Metabolism ,Fistula ,Gastro-colic ,Gastric bypass ,Gastrocolic fistula ,Anastomosis ,medicine.disease ,Marginal Ulcer ,Surgery ,medicine ,business ,Complication - Published
- 2021
45. Experimental Studies on Caustic Burns of the Stomach by Aggressive Chemicals
- Author
-
Wit, J., Noack, L., Gdanietz, K., Vorpahl, K., Angerpointner, T. A., editor, Gauderer, Michael W. L., editor, Hecker, W. Ch., editor, Prévot, J., editor, Spitz, L., editor, Stauffer, U. G., editor, Wurnig, P., editor, and Angerpointner, Thomas A., editor
- Published
- 1990
- Full Text
- View/download PDF
46. Fístula gastrocólica como complicación de gastrostomía percutánea de alimentación; a propósito de tres casos y revisión de la literatura.
- Author
-
Jiménez Varo, Ignacio, Gros Herguido, Noelia, Parejo Campos, Juana, Tatay Domínguez, Dolores, Pereira Cunill, José Luis, Serrano Aguayo, Pilar, Socas Macías, María, and García-Luna, Pedro Pablo
- Subjects
- *
GASTRIC fistula , *GASTROSTOMY , *ENTERAL feeding , *NUTRITION , *FEEDING tubes - Abstract
Introduction: Percutaneous gastrostomy, is the procedure of choice to provide enteral access in patients requiring nutritional support in this way in the long run, relegating the surgical gastrostomy. Material and methods: We present three patients requiring percutaneous gastrostomy for nutritional support. In two cases was performed endoscopic gastrostomy and another one using interventional radiology. Results: While performing percutaneous gastrostomy clinical incidents were not detected, but when trying the replacement of gastrostomy tubes, showed the presence of gastrocolic fistula that caused failure or turnover in one case, or abdominal pain and diarrhea in the two other cases. Discussion: Despite being a safe technique, should be done a proper patient selection in order to minimize the potential complications that may occur, as gastrocolic fistula, recommending in doubtful cases test of image such CT (computerized Tomography). [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
47. Indolent complication after percutaneous endoscopic gastrostomy: a case report of gastric fistula
- Author
-
Anand Gourishankar
- Subjects
medicine.medical_specialty ,Heterogeneous group ,Percutaneous ,business.industry ,medicine.medical_treatment ,Fistula ,Gastrocolic fistula ,medicine.disease ,Surgery ,Percutaneous endoscopic gastrostomy ,Pediatrics, Perinatology and Child Health ,PEG ratio ,medicine ,Vomiting ,medicine.symptom ,Complication ,business - Abstract
An adolescent patient developed vomiting 1 month after percutaneous endoscopic gastrostomy (PEG) insertion. A gastrostomy-tube contrast study confirmed the gastrocolic fistula. The gastrocolic fistula, a rare complication, should be considered in high-risk patients. After the first PEG tube insertion by Dr Gauderer in 1979,1 advances in the technique, use in adults and development of different types of tubes have helped various types of patients. Failure rates are similar between laparoscopic (0.5%) and PEG (0.9%) procedures; the later had a higher risk of complications of visceral injury and mechanical issues.2 Similar results were reported in a heterogeneous group of patients.3 However, PEG showed no differences in mortality or infection compared with percutaneous radiologic gastrostomy.4 Complications are inherent with any procedure; awareness of immediate and late complications of PEG insertion is vital. We discuss here a case pertinent to quiescent late (≥2 weeks) complication. An adolescent patient was neurologically devastated after a motor-vehicle-collision accident. The patient developed …
- Published
- 2020
48. Gastro-cholecysto-colic fistula. Case report of an idiopathic case, and management approach
- Author
-
Shane C. Irwin, John V. Reynolds, Noel E Donlon, and Helen Mohan
- Subjects
medicine.medical_specialty ,AcademicSubjects/MED00910 ,Fistula ,gastrocolic fistula ,surgical management ,Epigastric pain ,Gastroenterology ,Inflammatory bowel disease ,03 medical and health sciences ,0302 clinical medicine ,Gastro ,Pathognomonic ,Internal medicine ,medicine ,case report ,business.industry ,cholecystocolic fistula ,digestive, oral, and skin physiology ,medicine.disease ,digestive system diseases ,Feculent vomiting ,complex fistula ,gastrocholecystic fistula ,030220 oncology & carcinogenesis ,Etiology ,030211 gastroenterology & hepatology ,Surgery ,jscrep/0160 ,Abnormality ,business - Abstract
A 71-year-old lady presented with a 4-week-history of epigastric pain, feculent vomiting, diarrhoea and weight-loss. On subsequent investigations, she was found to have a complex gastro-cholecysto-colic fistula with no clear underlying aetiology. The only abnormality both macroscopically and microscopically was ulceration and inflammation in the colon. However, this was not pathognomonic of inflammatory bowel disease, and (gastric) acid-induced inflammation is an alternative explanation. Herein we present her case, her comprehensive evaluation, her successful surgical management and a review of the relevant literature.
- Published
- 2020
49. A Child With a Gastrocolic Fistula After Ingesting Magnets: An Unusual Complication
- Author
-
Alaa Ali and Saeed Alhindi
- Subjects
medicine.medical_specialty ,foreign body ingestion ,Fistula ,medicine.medical_treatment ,gastrocolic fistula ,Gastrocolic fistula ,Poison control ,030204 cardiovascular system & hematology ,Pediatrics ,03 medical and health sciences ,Pediatric Surgery ,0302 clinical medicine ,Laparotomy ,medicine ,Ingestion ,Foreign Body Ingestion ,young child ,business.industry ,General surgery ,General Engineering ,equipment and supplies ,medicine.disease ,magnets ingestion ,General Surgery ,Complication ,business ,human activities ,030217 neurology & neurosurgery ,Pediatric population - Abstract
Foreign body ingestion is frequently the cause of emergency visits in the pediatric population, and these cases are challenging to diagnose and manage. In particular, the ingestion of magnets is dangerous and can lead to serious complications and even death. Urgent endoscopic intervention or surgical exploration remains the best approach for removing multiple ingested magnets and preventing further injury to the gastrointestinal (GI) tract. We report a nine-year-old child with an adjustment disorder who developed a gastrocolic fistula following the deliberate ingestion of multiple magnets. The magnets were successfully retrieved after an emergency laparotomy, and the fistula was subsequently repaired.
- Published
- 2020
50. Gastrosplenocolic fistula secondary to non-Hodgkin B-cell lymphoma
- Author
-
Yujiro Yokoyama, Robert Bloch, Sarang Kashyap, and Edward Ewing
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,Fistula ,Splenectomy ,gastrocolic fistula ,Case Report ,03 medical and health sciences ,0302 clinical medicine ,hemic and lymphatic diseases ,medicine ,B-cell lymphoma ,diffuse non-Hodgkin large B-cell lymphoma ,Chemotherapy ,splenocolonic fistula ,business.industry ,Gastric lymphoma ,Colostomy ,medicine.disease ,Lymphoma ,Surgery ,030220 oncology & carcinogenesis ,030211 gastroenterology & hepatology ,Gastrectomy ,business ,gastrosplenocolic fistula - Abstract
Gastrocolic fistula (GSF) is a rare entity that arises mainly from splenic or gastric lymphoma. Gastric and splenic lymphomas can also fistulate with other organs, including the pleura and the colon, but there has been no reported case to best of our knowledge of a fistula involving three different organs. We hereby present the case of a female patient with gastrosplenocolic fistula secondary to non-Hodgkin B-cell lymphoma. We performed an en bloc partial gastrectomy with splenectomy and partial left colon resection with colostomy. GSF can be treated with chemotherapy. However, when the definite diagnosis is unclear or GSF is causing serious complications such as bleeding or active infection, we believe surgical excision is the treatment of choice.
- Published
- 2020
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