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Gastrocolic fistulas

Hansen, C. P. LU ; Lanng, C. ; Christensen, A. LU ; Thagaard, C. S. ; Lassen, M. ; Klaerke, A. ; Tonnesen, H. LU and Ostgaard, S. E. (1988) In Acta Chirurgica Scandinavica 154(4). p.287-289
Abstract

Sixteen patients were treated for gastrocolic fistula arising as a complication of peptic ulcer (11 cases), colonic perforation (2), gastric cancer (1), colonic cancer (1) or pancreatitis (1). The predominant symptoms were diarrhoea, weight loss and abdominal pain. Barium meal and barium enema were the most reliable means of diagnosis, and no fistula was gastroscopically demonstrable. A one-stage en bloc resection of the involved gastrocolic region was performed in eight cases. Other operations were simple excision (3), gastric resection with closure of the colonic wall (2) and colectomy with closure of the gastric wall (2). In one case cure was achieved with cimetidine, without surgical intervention. Four patients died postoperatively... (More)

Sixteen patients were treated for gastrocolic fistula arising as a complication of peptic ulcer (11 cases), colonic perforation (2), gastric cancer (1), colonic cancer (1) or pancreatitis (1). The predominant symptoms were diarrhoea, weight loss and abdominal pain. Barium meal and barium enema were the most reliable means of diagnosis, and no fistula was gastroscopically demonstrable. A one-stage en bloc resection of the involved gastrocolic region was performed in eight cases. Other operations were simple excision (3), gastric resection with closure of the colonic wall (2) and colectomy with closure of the gastric wall (2). In one case cure was achieved with cimetidine, without surgical intervention. Four patients died postoperatively and two had recurrence of fistula.

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publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Chirurgica Scandinavica
volume
154
issue
4
pages
287 - 289
publisher
Almqvist & Wiksell
external identifiers
  • pmid:3376689
  • scopus:0023947706
ISSN
0001-5482
language
English
LU publication?
no
id
7018e627-821b-4e94-8908-76e5a8d34296
date added to LUP
2022-10-31 17:06:05
date last changed
2024-01-02 21:01:30
@article{7018e627-821b-4e94-8908-76e5a8d34296,
  abstract     = {{<p>Sixteen patients were treated for gastrocolic fistula arising as a complication of peptic ulcer (11 cases), colonic perforation (2), gastric cancer (1), colonic cancer (1) or pancreatitis (1). The predominant symptoms were diarrhoea, weight loss and abdominal pain. Barium meal and barium enema were the most reliable means of diagnosis, and no fistula was gastroscopically demonstrable. A one-stage en bloc resection of the involved gastrocolic region was performed in eight cases. Other operations were simple excision (3), gastric resection with closure of the colonic wall (2) and colectomy with closure of the gastric wall (2). In one case cure was achieved with cimetidine, without surgical intervention. Four patients died postoperatively and two had recurrence of fistula.</p>}},
  author       = {{Hansen, C. P. and Lanng, C. and Christensen, A. and Thagaard, C. S. and Lassen, M. and Klaerke, A. and Tonnesen, H. and Ostgaard, S. E.}},
  issn         = {{0001-5482}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{287--289}},
  publisher    = {{Almqvist & Wiksell}},
  series       = {{Acta Chirurgica Scandinavica}},
  title        = {{Gastrocolic fistulas}},
  volume       = {{154}},
  year         = {{1988}},
}