1989
DOI: 10.1002/bjs.1800761226
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Gastrocolic fistula as a complication of benign gastric ulcer: Report of four cases and update of the literature

Abstract: Four cases of gastrocolic fistula complicating benign gastric ulcer are described, bringing the total number of individually reviewed cases in the English language literature to 108. A review of 30 cases reported in the past 10 years reveals a surprisingly high percentage of young, female patients. Three-quarters of these patients used steroidal or nonsteroidal anti-inflammatory agents. The presence of such fistulae is suspected in patients complaining of weight loss, diarrhoea and faecal vomiting. Small fistu… Show more

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Cited by 22 publications
(22 citation statements)
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“…Advanced neoplasms of the stomach and transverse colon are the commonest causes of a GCF (2,3). Other reported cases of GCF include inflammatory bowel disease, especially Crohn's colitis, colonic diverticulosis, trauma, pancreatic abscess, tuberculosis, syphilis, percutaneous endoscopic gastrostomy insertion, gastric lymphoma, carcinoid tumours of the colon and, rarely, metastatic tumours (4,5,6). With the advances in medical treatment, GCF secondary to peptic ulcer disease is now less common (7).…”
Section: Discussionmentioning
confidence: 99%
“…Advanced neoplasms of the stomach and transverse colon are the commonest causes of a GCF (2,3). Other reported cases of GCF include inflammatory bowel disease, especially Crohn's colitis, colonic diverticulosis, trauma, pancreatic abscess, tuberculosis, syphilis, percutaneous endoscopic gastrostomy insertion, gastric lymphoma, carcinoid tumours of the colon and, rarely, metastatic tumours (4,5,6). With the advances in medical treatment, GCF secondary to peptic ulcer disease is now less common (7).…”
Section: Discussionmentioning
confidence: 99%
“…Gastro-colic fistula secondary to benign gastric ulcer disease is uncommon with only 111 reported cases in English literature (2). Most patients with benign gastro-colic fistula were middle-age women with a history of recent anti-inflammatory drug therapy (3). …”
Section: Discussionmentioning
confidence: 99%
“…Majority of patients will be malnourished and dehydrated at time of presentation. Occult or frank gastrointestinal bleeding occurs in 25% to 33% of those with benign disease (3). …”
Section: Discussionmentioning
confidence: 99%
“…Patients with gastrocolic fistulae present with weight loss, diarrhea, and fecal vomiting. Fistulae arising from the stomach are commonly due to peptic ulcer disease [58]. Fistulae between the stomach and colon secondary to malignancy are commonly of colonic rather than gastric origin [59].…”
Section: Gastric Fistulaementioning
confidence: 99%
“…Fistulae between the stomach and colon secondary to malignancy are commonly of colonic rather than gastric origin [59]. Gastrocolic fistulae complicating benign gastric ulcers have been reported in over 100 case reports [58]. Many of the patients described were being treated with either steroids or non-steroidal anti-inflammatory drugs (NSAIDS) for other ailments.…”
Section: Gastric Fistulaementioning
confidence: 99%