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Updated: Jul 4, 2026

Colonial Wig Pancreaticojejunostomy
Published on: March 12, 2019
Gastrojejunocolic fistula after gastrojejunostomy: a case series
Jin-Ming Wu1, Ming-Yang Wang, Po-Huang Lee
1National Taiwan University Hospital, Department of Surgery, Taipei, Taiwan. kptkptkpt@yahoo.com.tw
Introduction:
Gastrojejunocolic (GJC) fistulae represent a significant post-surgical cause of morbidity and mortality. GJC fistulae represent rare post-surgical complications, and most are associated with gastric surgery. In the past, this complication has been under-recognized because a fistula may form years after surgery.
Case Presentation:
We describe two cases of gastrojejunocolic fistula in men aged 67 and 60 who both initially presented with watery diarrhea and weight loss. Upper GI studies with small bowel follow-through or barium contrast enema studies allowed a conclusive diagnosis to be made. Both patients underwent one-stage en bloc resection, and their postoperative course was uneventful.
Conclusion:
With surgery, this condition is entirely correctable. Pre-operative nutritional status should be evaluated in patients undergoing corrective surgery, and total parenteral nutrition plays a major role in the provision of bowel rest to allow recovery in malnourished patients.
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