FORMATION OF GASTROCOLIC FISTULA DURING TREATMENT FOR PEPTIC ULCER

  1. Yoshimi Iwasaki1,*,
  2. Keiichi Kubota1,
  3. Mitsugi Shimoda1,
  4. Kunifumi Ishikawa2,
  5. Naoki Satoh2

Article first published online: 22 JUN 2009

DOI: 10.1111/j.1443-1661.2009.00889.x

Issue

Digestive Endoscopy

Digestive Endoscopy

Volume 21, Issue 3, pages 208–210, July 2009

Additional Information

How to Cite

Iwasaki, Y., Kubota, K., Shimoda, M., Ishikawa, K. and Satoh, N. (2009), FORMATION OF GASTROCOLIC FISTULA DURING TREATMENT FOR PEPTIC ULCER. Digestive Endoscopy, 21: 208–210. doi: 10.1111/j.1443-1661.2009.00889.x

Author Information

  1. 1

    Department of Gastroenterological Surgery, Dokkyo Medical University, Tochigi and

  2. 2

    Department of Surgery, Kyowa Central Hospital, Ibaragi, Japan

*Yoshimi Iwasaki, Department of Gastroenterological Surgery, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Tochigi 321-0293, Japan. Email: yiwasaki@dokkyomed.ac.jp

Publication History

  1. Issue published online: 22 JUN 2009
  2. Article first published online: 22 JUN 2009
  3. Received 1 December 2008; accepted 2 March 2009.

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Keywords:

  • gastric ulcer;
  • gastrocolic fistula;
  • wide gastrectomy

We report a case of gastrocolic fistula (GCF) caused by a gastric ulcer and rare endoscopic findings indicating the early stages of GCF formation. The patient was a 58-year-old man who was hospitalized with upper abdominal pain. He was diagnosed as having a gastric ulcer, and was prescribed a proton pump inhibitor (PPI), but did not comply with the medication. One year later, he was again referred with recurrent abdominal pain. Endoscopic examination showed what appeared to be a portion of exposed colonic wall located in the center of an active gastric ulcer, and repeated endoscopy after PPI treatment for 8 days demonstrated a typical GCF. A preoperative diagnosis of GCF was made, and the patient underwent wide gastrectomy with partial resection of the transverse colon.

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