Gastrojejuno-colic fistula after gastrojejunostomy
1Department of Surgery, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea.
Journal of the Korean Surgical Society
|April 12, 2013
Summary
Gastrojejunocolic fistula is a rare complication following gastrojejunostomy surgery. This case report details a patient successfully treated with surgical resection and reconstruction.
Area of Science:
- Gastroenterology
- Surgical Complications
Background:
- Gastrojejunocolic fistula is a rare but severe complication after gastrojejunostomy.
- It often results from inadequate surgical procedures for peptic ulcer disease.
Observation:
- A 55-year-old male presented with chronic diarrhea and weight loss.
- Previous history of truncal vagotomy and gastrojejunostomy 15 years prior.
- Diagnostic evaluations confirmed a gastrojejunocolic fistula.
Findings:
- Surgical exploration revealed adhesions and a fistula between the gastrojejunostomy site and the transverse colon.
- En bloc resection of the distal stomach and transverse colon, including the fistula, was performed.
- Roux-en-Y gastrojejunostomy reconstruction was successfully completed.
Implications:
- This case highlights the importance of recognizing and managing rare gastrointestinal surgical complications.
- Successful surgical intervention can lead to favorable patient outcomes.
- Further research into preventative strategies for gastrojejunostomy complications may be warranted.
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