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FORMATION OF GASTROCOLIC FISTULA DURING TREATMENT FOR PEPTIC ULCER
Author(s) -
Iwasaki Yoshimi,
Kubota Keiichi,
Shimoda Mitsugi,
Ishikawa Kunifumi,
Satoh Naoki
Publication year - 2009
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.2009.00889.x
Subject(s) - medicine , transverse colon , abdominal pain , gastrectomy , endoscopy , surgery , proton pump inhibitor , fistula , peptic ulcer , gastroenterology , cancer
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.