Five patients with gastrocolic fistula are described. In four, fistulization was caused by a marginal ulcer following gastrojejunal anastomosis. In the fifth case the fistula consisted of a canal traversing a lymphomatous tumor, which connected the lumen of the stomach with the lumen of the colon. All the patients had signs of malabsorption. The fistula was demonstrated by barium enema in all patients and by upper gastrointestinal series in only three. Partial remission of the malabsorption syndrome was achieved in the two patients treated with antibiotics. One patient died as a result of perforation of an additional marginal ulcer into the peritoneal cavity. Three were cured by reconstructive operations. The patient with lymphoma died of gastrointestinal bleeding after operation.
|Published - 1980