“…Proximal colostomy has been used as a preliminary procedure before resection of the fistula in 4 patients 15‐18 . Improvement in symptoms was noted in 3 of them but the fourth 15 had a large fistula, and failed to respond. There may be a place for proximal colostomy in the patient who has been severely debilitated by a gastrocolic fistula to allow nutritional and metabolic recovery prior to definitive resection but total parenteral nutrition may afford this without surgical intervention.…”