Gastrocolic Fistula as a Complication of Benign Gastric Ulcer

Formation of Gastrocolic Fistula During Treatment for Peptic Ulcer

“…The symptoms of GCF include abdominal pain (41.8%), diarrhea (34.7%), weight loss (35.7%), vomiting (33.7%), fecal vomiting or foul eructations (24.5%) and anemia (24.5%) 2 . Kaji et al.…”

“…The treatment for GCF caused by gastric ulcer had been surgery and most cases had been treated by wide gastrectomy combined with partial colectomy 1,2,4 . 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 .…”

“…Gastric ulcer is a common condition that can now be treated effectively since the introduction of proton pump inhibitors (PPI). Although gastrocolic fistula (GCF) has been reported in cases of severe advanced gastric and colonic cancer or as a complication after percutaneous endoscopic gastrostomy (PEG), GCF caused by a benign peptic ulcer is rare 1,2 . We have experienced a case of GCF caused by gastric ulcer.…”

“…Although gastrocolic fistula (GCF) has been reported in cases of severe advanced gastric and colonic cancer or as a complication after percutaneous endoscopic gastrostomy (PEG), GCF caused by a benign peptic ulcer is rare. 1,2 We have experienced a case of GCF caused by gastric ulcer. In the present report, we focus on the mechanism of GCF based on rare endoscopic findings obtained in the early stage of fistula formation.…”

Gastrocolic Fistula in Chronic Intestinal Ischaemia

“…Well-known causes are cancer of the stomach or the colon, peptic ulcer disease, Crohn's disease, trauma, and tuberculosis. Most cases arc related to a stomal ulcer following partial gastrectomy and antecolic gastrojejunostomy for treatment of peptic ulcer [Karakousis and Greenberg, 1979;Lundell and Svartholm, 1980;Christiansen et al" 1981;McDaniel et al, 1982;Perez-Tamayo et al, 1983], While gastroduodenal ulceration in the presence of abdominal angina has been observed [Cronstedt et al, 1982], a gastrocolic fistula due solely to chronic intestinal ischaemia has to our knowledge not been reported before. The case of a gastrocolic fistula in abdominal vascular disease presented here demonstrates that vascular origin must be considered in such fistulas.…”