Benign Gastrocolic Fistula Healing With Conservative Management

Strang, George

doi:10.1001/archsurg.1977.01370050111020

Cited by 11 publications

(5 citation statements)

References 17 publications

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“…6,7 Although there are few reports of successful follow up with conservative therapy, medical management has recently been recommended as the first choice of treatment when malignancy can be excluded. 4,8,9 In the present case, we decided to carry out a wide gastrectomy because of the patient's possible lack of compliance with medication, and marked dilation of the right side of the colon.…”

Section: Discussionmentioning

confidence: 91%

“…Recently, the standard surgery for GCF has been changed by the introduction of H2 blocker and PPI, and wedge resection including GCF or en‐block resection have been carried out for benign cases 6,7 . Although there are few reports of successful follow up with conservative therapy, medical management has recently been recommended as the first choice of treatment when malignancy can be excluded 4,8,9 . In the present case, we decided to carry out a wide gastrectomy because of the patient's possible lack of compliance with medication, and marked dilation of the right side of the colon.…”

Section: Discussionmentioning

confidence: 94%

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Formation of Gastrocolic Fistula During Treatment for Peptic Ulcer

Iwasaki

Kubota

Shimoda

et al. 2009

Digestive Endoscopy

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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.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 94%

Formation of Gastrocolic Fistula During Treatment for Peptic Ulcer

Iwasaki

Kubota

Shimoda

et al. 2009

Digestive Endoscopy

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“…Although there have been isolated reports of successful outcomes with medical therapy, 11–12 surgery has been the standard form of treatment for gastrocolic fistula, with an overall mortality of 8.2% 9 . Partial gastrectomy, excision of the fistula, and resection of the segment of involved colon with primary anastomosis is the procedure most commonly employed.…”

Section: Discussionmentioning

confidence: 99%

Benign Gastrocolic Fistula Associated With Peritonitis

Parks¹

1996

Int J Clinical Practice

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SUMMARY Gastrocolic fistula is most often related to malignancy or previous gastric surgery. It is an uncommon complication of benign gastric ulceration in patients who have not had a previous operation. Benign gastrocolic fistula associated with peritonitis is extremely rare — this case is only the fourth ever reported. The patient presented with an acute abdomen, and subsequent investigations demonstrated a gastrocolic fistula of benign aetiology.

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“…Although conservative measures, such as cimetidine and carbenoxolone administration or prolonged nutritional support, 12–14 have been successful in the management of high‐risk patients with gastrocolic fistula, the treatment of choice is by an en bloc resection of the fistula and the affected portion of stomach and colon, together with a primary reconstruction of gastrointestinal continuity.…”

Section: Discussionmentioning

confidence: 99%