Gastrocolic fistula

Czech version

Authors: Michal Demeter; Peter Bánovčin; J. Božíková; M. Schnierer; R. Hyrdel
Authors‘ workplace: Interná klinika gastroenterologická, Jesseniova lekárska fakulta UK a Univerzitná nemocnica Martin
Published in: Gastroent Hepatol 2012; 66(1): 51-53
Category: Clinical and Experimental Gastroenterology: Case Report

Overview

Gastrocolic fistulae are rare, but real complications of gastrointestinal surgery and benign and malignant diseases of the gastrointestinal tract. The clinical picture varies and depends on localisation of the fistula, its size and the underlying disease leading to its creation. Due to the fact that gastrocolic fistulae do not show pathognomonic symptoms, resulting in delayed diagnosis, leading to the development of blind loop syndrome and malabsorption linked to diarrhoea and cachexia. In our case reports, we document the endoscopic diagnosis of gastrocolic fistulae in patients with a history of complicated peptic ulcer disease who were sent to our centre due to chronic diarrhoea linked to cachexia and suspected Zollinger-Ellison syndrome.

Key words:
gastrocolic fistula – peptic ulcer disease – Zollinger-Ellison syndrome

Sources

1. Cody JH, DiVincenti FC, Cowick DR et al. Gastrocolic and gastrojejunocolic fistulae: report of twelve cases and review of literature. Ann Surg 1975; 179(3): 376–380.

2. Patwardhan N, McHugh K, Drake D et al. Gastroenteric fistula complicating percutaneous endoscopic gastrostomy. J Pediatr Surg 2004; 39(4): 561–564.

3. Dudrick SJ, Maharaj AR, McKelvey AA. Artificial nutritional support in patients with gastrointestinal fistulas. World J Surg 1999; 23(6): 570–576.

4. Takekazu K, Masatoshi N, Masahiro O et al. A case of gastro-colic fistula in the gastric ulcer, which was done follow-up of endoscopically. Gastroenterol Endosc 2005; 47(8): 1518–1525.

5. Morgan MD, Kapila H. Closure of gastrocolic fistula after treatment with cimetidine. Postgrad Med J 1981; 57(7): 463–465.

6. Melmed GY, Kar S, Geft I et al. A new method for endoscopic closure of gastrocolonic fistula: novel application of a cardiac septal defect closure device. Gastrointest Endosc 2009; 70(3): 542–545.

7. Grunshaw ND, Ball CS. Palliative treatment of an enterorectal fistula with a covered metallic stent. Cardiovasc Intervent Radiol 2001; 24(6): 438–440.

8. Gonzalez-Ojeda A, Avalos-Gonzalez J, Mucino-Hernandez MI et al. Fibrin glue as adjuvant treatment for gastrocutaneous fistula after gastrostomy tube removal. Endoscopy 2004; 36(4): 337–341.

9. Sands BE, Anderson FH, Bernstein CN et al. Infliximab maintenance therapy for fistulizing Crohn‘s disease. N Engl J Med 2004; 350(9): 876–885.