2023 Volume 56 Issue 5 Pages 249-255
A 75-year-old man underwent endoscopic treatment for squamous cell carcinoma of the thoracic esophagus, and then received palliative care for recurrent lung metastases, adrenal metastases, and peritoneal dissemination. He complained of abdominal pain and vomiting, and was diagnosed with duodenocolic fistula after abdominal CT and upper gastrointestinal tract radiography. Abdominal pain and vomiting symptoms were temporarily relieved by conservative treatment with fasting, gastric tube placement and antibiotic administration, and he was able to ingest orally, but the symptoms recurred within one month. We determined that the duodenocolic fistula was resistant to conservative treatment, and gastrojejunal anastomosis and separation surgery of the right-sided colon were performed as palliative surgery. There were no severe complications and the patient was able to eat at 3 months after surgery. This case indicates that gastrojejunal anastomosis and separation surgery of the right-sided colon are useful as palliative surgery for duodenocolic fistula from the perspectives of safety and quality of life.
