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RECURRENT GASTROJEJUNOCOLIC FISTULA TREATED BY ILEOSIGMOIDOSTOMY
Author(s) -
CASE THOMAS C.
Publication year - 1969
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1969.tb03177.x
Subject(s) - medicine , fistula , surgery , lesion , resection , peptic ulcer , general surgery
A bstract : A twenty‐year history of a ease of recurrent peptic ulcer with recurrent gastrojejunocolic fistula is presented. The sequence of surgical events was: (a) closure of a perforated duodenal ulcer in 1948; (b) gastric resection for ulcer and obstruction in 1950; (c) gastric re‐resection for gastrojejunocolic fistula in 1963; (d) gastric re‐resection for a similar lesion in July 1967; and (e) ileosigmoidostomy for a similar lesion in September 1967. Pancreatic adenoma was suspected but not identified. The compromise operation (ileosigmoidostomy) in 1967 has proved effective to date (one year later).