A case of large gastrojejunocolic fistula due to stomal ulcer after gastrectomy

Abstract

A 47-year-old man had an omental patch repair for a perforated duodenal ulcer in December 2002. Due to a rebleed that occurred 8 days later, he required a distal gastrectomy with a Roux-en Y reconstruction for a duodenal ulcer. In October 2005 he developed systemic edema. Colonoscopy and upper gastrointestinal series revealed a gastrojejunocolic fistula. Partial resection of the gastrojejunostomy and the transverse colon including the fistula was performed in April 2006. The most common symptoms of this disease include diarrhea and weight loss. Therefore, it should be considered in the differential diagnosis in patients who develop these symptoms after a distal gastrectomy.