Abstract
A 27-year-old male was admitted to our hospital because of watery diarrhea, belching with fecal odor and abdominal pain with relatively sudden onset. Previous history was as follows; Five years prior to the admission, he received subtotal gastrectomy because of perforated duodenal ulcer. Two years prior to the admission, resection of afferent loop, duodenojejunostomy and cholecystostomy were performed for the strangulation of elongated afferent loop constructed by the previous operation. One and half years before the admission, pain in the epigastrium developed and recurrent ulcer was detected proximal to the stoma by endoscopic examination. Laboratory data on admission revealed mild anemia, hypoproteinemia, hypocholester-olemia and hypocalcemia. Mild increase of fecal fat excretion as well as moderate abnormal D-xylose test and Schilling test was demonstrated. The fistula communicating jejunum distal to the stoma and transverse colon was confirmed by both barium enema and endoscopic examination, and diagnosis of gastrojejunocolic fistula was made. Gastrojejunocolic fistula following stomal ulcer is rare complication of gastric surgery and the cases reported in Japan were briefly reveiwed.
