Surgical Images: Soft Tissue: Postgastrectomy Benign Gastrojejunocolic Fistula

• Published in: Canadian Journal of Surgery Vol. 50; no. 5; pp. 397 - 398
• Main Authors: Herbella, Fernando A.M., MD, Del Grande, Jose C., MD, Beaton, Howard L., MD
• Format: Journal Article
• Language: French; English
• Published: Canada CMA Impact Inc 01.10.2007; CMA Impact, Inc; Canadian Medical Association
• Subjects: Aged; Care and treatment; Case studies; Colonoscopy; Colorectal surgery; Continuing Medical Education; Diagnosis; Gastrectomy; Gastrectomy - adverse effects; Gastric Fistula - diagnosis; Gastric Fistula - etiology; Gastric Fistula - surgery; Health aspects; Humans; Intestinal Fistula - diagnosis; Intestinal Fistula - etiology; Intestinal Fistula - surgery; Jejunum - diagnostic imaging; Male; Patient outcomes; Peptic ulcer; Radiography; Stomach - diagnostic imaging; Surgery; Tissues; New York
• ISSN: 0008-428X; 1488-2310
• DOI: 10.1016/S0008-428X(07)50114-1

Gastrocolic fistula was first described by Czerny in 1903. It may be caused by a myriad of diseases, such as cancer of the colon and stomach, trauma, ulcerative colitis, diverticulitis, intraabdominal abscesses, syphilis, tuberculosis, peritonitis, peptic ulcer and after operations on the stomach or colon. Postgastrectomy gastrojejunocolic fistula reached an incidence of 8% to 22% in patients with recurrent ulcers in a prevagotomy era and when gastrectomy for peptic disease was a common operation.1 Today the disease is rare because of the decrease in surgery for peptic disease and better clinical control of recurrent ulcers; however, because the condition can occur 20 years after the initial surgery, some cases are still reported.2