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gastrocolic fistula
fistula connecting the stomach & the colon
Etiology:
- gastric cancer
- colorectal cancer
- peptic ulcer (less common)
- use of glucocorticoids or NSAIDs increase risk [1]
Pathology:
- fecal matter passes from the colon into the stomach
Clinical manifestations:
- abdominal pain
- diarrhea
- weight loss
- foul eructation, fecal halitosis
- feculent vomiting
Radiology:
- barium enema
Management:
- surgival resection of the fistula tract [2]
- post-operative mortality as high as 25% [2]
- prognosis: < 10 years
General
fistula
gastric disease
intestinal disease
References
- Casey J and Lorenzo G
Gastrocolic Fistula
J Natl Med Assoc. Apr 1986; 78(4):330-332
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2571285/
- Barrett K et al
Benign Gastro-colic Fistula in a Woman Presenting With Weight
Loss and Intermittent Vomiting.
J Med Case Reports. 2011;5(313)
http://www.medscape.com/viewarticle/749076