Simultaneous gastroscopy and colonoscopy for the diagnosis of gastrojejunocolic fistula in a 60-year-old man

Year 2013, , - , 01.04.2013

Meltem Ergün Fatih Oğuz Önder Nurgül Şaşmaz

https://doi.org/10.17940/endoskopi.74818

Abstract

Gastrojejunocolic fistula is an unusual, late complication of gastroenterostomy. Patients can present with symptoms of a fistula 20 years or more after their original gastric surgery. Establishing the diagnosis of gastrojejunocolic fistula is difficult because it has nonspecific symptoms on admission.The most frequently used diagnostic tools are barium enema and endoscopy. We herein report the case of a 60-year-old man with gastrojejunocolic fistula. We performed simultaneous gastroscopy and saw the tip of the colonoscope emerging through the gastrojejunostomy stoma.

Keywords

Gastrojejunocolic fistula, gastroenterostomy, colonoscopy

60 yaşında erkek hastada gastrojejunokolik fistül tanısında eş zamanlı gastroskopi ve kolonoskopi

Abstract

Gastrojejunokolik fistül gastroenterostominin nadir ve geç komplikasyonudur. Hastalık operasyondan 20 yıl sonra bile ortaya çıkabilir. Gastrojejunokolik fistül tanısı hastalığın nonspesifik semptomatolojisi nedeniyle güçtür. En sık tanı araçları baryumlu grafi ve endoskopidir. Biz gastrojejunokolik fistülü olan ve tanısını eş zamanlı kolonoskopi ve endoskopi ile koyduğumuz bir vakayı sunuyoruz.

Keywords

Gastrojejunokolik fistül, gastroenterostomi, kolonoskopi

References

• Damata G, Rahili A, Karimdjee-Soilihi B. Gastrojejunocolic fistula after gastric surgery for duodenal ulcer: case report. G Chir 2006;27:360-2.
• Filipovic B, Randjelovic T, Nikolic G. Gastrojejunocolic fistula as a complication of Billroth II gastrectomy: a case report. Acta Chir Belg 2008;108:592-4.
• Chung DP, Li RS, Leong HT. Diagnosis and current management of gas- trojejunocolic fistula. Hong Kong Med J 2001;7:439-41.
• Ohta M, Konno H, Tanaka T, et al. Gastrojejunocolic fistula after gas- trectomy with Billroth II reconstruction: report of a case. Surg Today 2002;32:367-70.
• Kece C, Dalgic T, Nadir I, et al. current diagnosis and management of gastrojejunocolic fistula. Case Rep Gastroenterol 2010;4:173-7.
• Grace PA, Pitt HA, Longmire WP. Pylorus preserving pancreaticoduode- nectomy: an overview. Br J Surg 1990;77:968-74.
• Jordan JH, Hocking MP, Rout WR, Woodward ER. Marginal ulcer fol- lowing gastric bypass for morbid obesity. Am Surg 1991;57:286-8.
• Wilson RG, Wilson KS, Champion HR. Gastrojejunocolic fistula. J R Coll Surg Edinb 1973;18:227-30.
• Nussinson E, Samara M, Abud H. Gastrojejunocolic fistula diagnosed by simultaneous gastroscopy and colonoscopy. Gastrointestinal Endosc 1987;33:398-9