Development of a Gastrojejunocolic Fistula after Gastrectomy for Duodenal Ulcer Perforation

Keiji Uchide, Masaki Kashiwazaki^*, Youichi Makari, Sadayuki Doi, Nobuo Tanaka, Masanori Naoi, Hirohide Maruyama and Takayoshi Fujimoto^**

Department of Surgery, Kawanishi City Hospital
Department of Surgery II, Osaka University^*
Department of Surgery, Nishinomiya Prefecture Hospital^**

Seventy-one cases of gastrojejunocolic fistula, a rare and serious complication of marginal ulcers after surgery for gastric or duodenal ulcers, have been reported in the Japanese literature from 1931 to 1998. Recently, we experienced a case of gastrojejunocolic fistula which had developed 13 years after distal gastrectomy for duodenal ulcer perforation. Surgical procedures were successfully performed on this case. A 37-year-old man was admitted to our hospital with complaints of severe diarrhea, weight loss, and buttock pain. He had undergone distal partial gastrectomy with Billroth II and retrocolic anastomosis for duodenal ulcer perforation 13 years before. Radiologic and endoscopic examinations revealed a gastrojejunocolic fistula. Thus, subtotal gastrectomy with partial resection of the jejunum and transverse colon was successfully performed. There was a weight gain of 18 kg three months after surgery.

Key words
gastrojejunocolic fistula, stomal ulcer

Reprint requests
Keiji Uchide Department of Surgery, Kawanishi City Hospital 5-21-1 Higashiuneno, Kawanishi, 666-0195 JAPAN

Accepted
July 28, 1999

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