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Related Experiment Videos

Malignant duodenocolic fistulas

J P Welch, A L Warshaw

    American Journal of Surgery
    |June 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Malignant duodenocolic fistulas are rare but serious conditions. Surgical resection offers the best chance for long-term survival, with one patient surviving 14 years post-operation.

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    Area of Science:

    • Gastroenterology
    • Surgical Oncology

    Background:

    • Malignant duodenocolic fistulas are rare gastrointestinal complications.
    • Review of five cases over thirty years at Massachusetts General Hospital.

    Observation:

    • Key symptoms include diarrhea, weight loss, abdominal pain, anemia, and occasionally feculent vomiting.
    • Barium enemas are more effective than upper GI series for diagnosing fistula tracts.
    • Patients often experience profound nutritional deficiencies.

    Findings:

    • Surgical intervention is crucial for effective management.
    • Fistula bypass offers minimal palliative benefit.
    • Division or resection of the fistula is recommended when possible.

    Implications:

    • Wide surgical resection is the preferred treatment modality.
    • Preoperative hyperalimentation can address nutritional deficiencies.
    • Successful wide resection can lead to long-term survival, as evidenced by a 14-year survival case.