Abstract
We report a case of gastrojejunocolic fistula probably caused by stomal ulcer after gastrectomy. The patient was a 72-year-old woman. She had undergone a distal gastrectomy for gastric ulcer 22 years before. She visited another hospital for watery diarrhea in February 1997 and was found to have a polyp of the colon. She underwent a laparotomy, but no symptomatic remission was attained. she was seen at the hospital because of abdominal pain and diarrhea in March 1999, and was hospitalized for examination and treatment. Upper gastrointestinal endoscopy revealed active stomal ulcer. The reconstruction after the previous gastrectomy was made by means of Billroth II method. Multiple lumens were identified near the anastomosis, and one of them had opened to the colon. Subsequent radiologic examinations revealed gastrojejunocolic fistula. Partial resection of the stomach and jejunum, and closure of the fistula of the transverse colon were successfully performed. After the surgery, diarrhea improved and there was a weight gain of 8kg in two months.
