1
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de Souza RF, de Matos DG, Lopes Dos Santos J, Andrade Lima C, Reis Pires Ferreira A, Moreno G, Santos Oliveira A, Dutra Pereira D, Knechtle B, Aidar FJ. Effects of ibuprofen during 42-km trail running on oxidative stress, muscle fatigue, muscle damage and performance: a randomized controlled trial. Res Sports Med 2024; 32:400-410. [PMID: 36154349 DOI: 10.1080/15438627.2022.2122826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
Up to 75% of marathon runners ingest non-steroidal anti-inflammatory drugs (NSAIDs) during competition. Despite the doubt whether or not they contribute to performance, the effect of NSAID in endurance sports is unclear. We evaluated the effect of ibuprofen (IBU) use on oxidative stress, muscle damage, physical performance, and vertical jump of runners participating in a 42-km-trail running. The sample consisted of 12 men randomly divided into 2 groups: a placebo group (placebo) and an ibuprofen group (IBG). A 400-mg IBU capsule was administered to the IBG 15 min prior to the start of the trial and during the course after 5 h. In the intergroup analysis, placebo 70.1% increase (p < 0.0001; Cohen's d = 4.77) of the thiobarbituric acid reactive substances (TBARS); the IBG exhibited a 31.46% increase of the sulphhydryl groups (SH) (p = 0.024, Cohen's d = 0.27), 55% of squat jump (SJ) (p < 0.01; Cohen's d = 1.41) with no significant effect on creatine kinase (CK), pace, speed, and finish time. In summary, IBU had positive evidence on oxidative stress and muscle fatigue, but had no effect on physical performance and muscle damage.
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Affiliation(s)
- Raphael Fabricio de Souza
- Department of Physical Education, Federal University of Sergipe - UFS, Sergipe, Brazil
- Group of Studies and Research of Performance, Sport, Health and Paralympic Sports - GEPEPS, the Federal University of Sergipe - UFS, Sergipe, Brazil
- Graduate Program in Master's level in Physical Education, Federal University of Sergipe - UFS, Sergipe, Brazil
| | - Dihogo Gama de Matos
- Group of Studies and Research of Performance, Sport, Health and Paralympic Sports - GEPEPS, the Federal University of Sergipe - UFS, Sergipe, Brazil
| | - Jymmys Lopes Dos Santos
- Department of Physical Education, Federal University of Sergipe - UFS, Sergipe, Brazil
- Department of Physiology and Pharmacology, Center of Biosciences, Federal University of Pernambuco, Recife, Brazil
| | - Clésio Andrade Lima
- Department of Physical Education, Federal University of Sergipe - UFS, Sergipe, Brazil
| | - Alexandre Reis Pires Ferreira
- Department of Physical Education, Federal University of Sergipe - UFS, Sergipe, Brazil
- Group of Studies and Research of Performance, Sport, Health and Paralympic Sports - GEPEPS, the Federal University of Sergipe - UFS, Sergipe, Brazil
| | - Giselle Moreno
- Department of Physiology and Pharmacology, Center of Biosciences, Federal University of Pernambuco, Recife, Brazil
| | - Alan Santos Oliveira
- Department of Physiology and Pharmacology Inflammatory Process, Federal University of Sergipe-UFS, Sergipe, Brazil
| | - Danielle Dutra Pereira
- Department of Physiology and Pharmacology, Center of Biosciences, Federal University of Pernambuco, Recife, Brazil
| | - Beat Knechtle
- Institute of Primary Care, University of Zurich, Zurich, Switzerland
| | - Felipe J Aidar
- Department of Physical Education, Federal University of Sergipe - UFS, Sergipe, Brazil
- Group of Studies and Research of Performance, Sport, Health and Paralympic Sports - GEPEPS, the Federal University of Sergipe - UFS, Sergipe, Brazil
- Graduate Program in Master's level in Physical Education, Federal University of Sergipe - UFS, Sergipe, Brazil
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Gándara Gutiérrez C, Alonso Felgueroso C, Díaz Naya L, Diéguez Felechosa M, González Martínez S, Gutiérrez Buey G, Lázaro Martín L, Monge Rafael MªP, Veiguela Blanco B, Puente Barbé GO, Pasarón Fernández M, Nozal García L, Suárez-Coalla Bango C, Fernández Iglesias L, Riestra-Fernández M. [Gastrocolic fistula as infrequent cause of chronic diarrhea in a patient with percutaneous radiological gastrostomy]. NUTR HOSP 2024; 41:510-513. [PMID: 38450523 DOI: 10.20960/nh.05035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2024] Open
Abstract
Introduction Introduction: gastrocolic fistula is an infrequent but severe complication of percutaneous gastrostomy. Clinical suspicion in the presence of chronic diarrhea of unknown etiology manifesting after percutaneous radiological gastrostomy (PRG) tube replacement is key to early detection and treatment. Case report: we report the case of a patient with PRG that began with chronic diarrhea after tube replacement and developed severe malnutrition. Initial treatment was not effective, studies were extended with the finding of this complication in a CT image. The use of this tube was discontinued with resolution of diarrhea and a favorable nutritional outcome. Discussion: this case report shows the importance of considering gastrocolic fistula in the differential diagnosis of persistent diarrhea in a patient with a gastrostomy tube.
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Affiliation(s)
| | | | - Lucía Díaz Naya
- Servicio de Endocrinología y Nutrición. Hospital Universitario de Cabueñes
| | | | | | | | | | | | | | | | | | - Laura Nozal García
- Servicio de Endocrinología y Nutrición. Hospital Universitario de Cabueñes
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3
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Mancheron A, Bonnard A, Belarbi N, Viala J, Lengline H. Gastrocolic fistula as a complication of a gastric ulcer related to Helicobacter pylori in a child. Arch Pediatr 2024; 31:89-91. [PMID: 37993314 DOI: 10.1016/j.arcped.2023.07.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Revised: 05/24/2023] [Accepted: 07/28/2023] [Indexed: 11/24/2023]
Abstract
Gastrocolic fistulas are very rare in children and their association with Helicobacter pylori is poorly described. We present the case of a 10-year-old boy with a history of chronic abdominal pain, diarrhea, halitosis, and growth delay diagnosed with H. pylori-associated gastritis and gastrocolic fistula. The boy recovered with resection surgery and antibiotic therapy for eradication of the pathogen. This is the first description of a gastrocolic fistula in pediatrics related to H. pylori.
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Affiliation(s)
- Alexandre Mancheron
- University of Paris-Cité, Paris, France; Department of Pediatric Gastroenterology and Nutrition, Robert Debré Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
| | - Arnaud Bonnard
- University of Paris-Cité, Paris, France; Department of Pediatric Surgery, Robert Debré Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - Nadia Belarbi
- Department of Pediatric Imaging, Robert Debré Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - Jérôme Viala
- University of Paris-Cité, Paris, France; Department of Pediatric Gastroenterology and Nutrition, Robert Debré Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - Hélène Lengline
- Department of Pediatric Gastroenterology and Nutrition, Robert Debré Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
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Simão I, Mascarenhas A, Rodrigues JP. Chronic diarrhoea in an elderly woman: a challenging maze. Frontline Gastroenterol 2023; 14:537-538. [PMID: 37854778 PMCID: PMC10579620 DOI: 10.1136/flgastro-2023-102407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2023] [Accepted: 05/03/2023] [Indexed: 10/20/2023] Open
Affiliation(s)
- Inês Simão
- Department of Gastroenterology, Centro Hospitalar de Lisboa Ocidental EPE, Lisboa, Portugal
| | - André Mascarenhas
- Department of Gastroenterology, Centro Hospitalar de Lisboa Ocidental EPE, Lisboa, Portugal
| | - José Pedro Rodrigues
- Department of Gastroenterology, Centro Hospitalar de Lisboa Ocidental EPE, Lisboa, Portugal
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Pugliese ME, Battaglia R, Cerasa A, Lucca LF. A Rare Case of Severe Diarrhea: Gastrocolic Fistula Caused by Migration of Percutaneous Endoscopic Gastrostomy Tube. Healthcare (Basel) 2023; 11:healthcare11091263. [PMID: 37174805 PMCID: PMC10178304 DOI: 10.3390/healthcare11091263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Revised: 03/28/2023] [Accepted: 04/26/2023] [Indexed: 05/15/2023] Open
Abstract
Gastrocolic fistula is a rare complication of the percutaneous endoscopic gastrostomy (PEG) placement procedure. This complication occurs due to penetration of interposed colon when a PEG tube is placed into the stomach. It can go unrecognized, becoming evident only when a tube replacement is performed or tube migration occurs. We report a case of severe, intractable diarrhea occurring about one month after the PEG procedure in a patient with severe traumatic brain injury. We present our case and discuss its significance with the aim of raising clinicians' awareness of this rare condition.
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Affiliation(s)
| | - Riccardo Battaglia
- Severe Acquired Brain Injury Unit, S'Anna Institute, 88900 Crotone, Italy
| | - Antonio Cerasa
- Severe Acquired Brain Injury Unit, S'Anna Institute, 88900 Crotone, Italy
- Institute for Biomedical Research and Innovation (IRIB), National Research Council of Italy (CNR), 98164 Messina, Italy
- Pharmacotechnology Documentation and Transfer Unit, Preclinical and Translational Pharmacology, Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, 87036 Rende, Italy
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6
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Gastroscope Meeting the Colonoscope: A Rare Complication After Billroth II Gastrojejunostomy. ACG Case Rep J 2023; 10:e00994. [PMID: 36846356 PMCID: PMC9953036 DOI: 10.14309/crj.0000000000000994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Accepted: 01/30/2023] [Indexed: 03/01/2023] Open
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Sugi T, Kurata M, Furuta T, Ishibashi O, Inagawa S, Ariga H, Kashimura J, Kawai H, Takayashiki N, Oda T. Gastrocolic fistula caused by transverse colon cancer: a case report. Surg Case Rep 2023; 9:8. [PMID: 36689053 PMCID: PMC9871095 DOI: 10.1186/s40792-023-01590-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Accepted: 01/13/2023] [Indexed: 01/24/2023] Open
Abstract
BACKGROUND A gastrocolic fistula is an unusual communication between the colon and the stomach. Although colon cancer is the most common malignant cause of gastrocolic fistula in the Western world, the incidence of gastrocolic fistula due to colon cancer is 0.3% in operated cases. CASE PRESENTATION A 68-year-old man presented with anorexia, general malaise, weight loss, and vomiting of fecal matter. Investigations revealed that the patient had a large nonmetastatic splenic flexure tumor that was diagnosed as colon cancer and had invaded the stomach and pancreas. An upper gastrointestinal series confirmed a gastrocolic fistula. Left hemicolectomy, distal gastrectomy, distal pancreatectomy, and splenectomy were performed. Histology revealed transverse colon cancer, which was UICC stage (8th edition) pT4bN1bcM0 pStage IIIC. Adjuvant chemotherapy was not performed. There was no recurrence or metastasis one year after surgery. We reviewed 17 cases including our case of a gastrocolic fistula caused by colon cancer. Neoadjuvant chemotherapy was not given to any of the patients, and en bloc resections were conducted in all cases. Adjuvant chemotherapy was given to almost all of the patients. There was no recurrence or metastasis. CONCLUSIONS For gastrocolic fistula caused by advanced colon cancer, secure en bloc surgical resection was the initial treatment in all 17 reported cases including the present case, and adjuvant chemotherapy may contribute to a better prognosis.
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Affiliation(s)
- Tomoyuki Sugi
- Department of Surgery, Mito Kyodo General Hospital, 3-2-7 Miya-Machi, Ibaraki, 310-0015 Japan ,grid.20515.330000 0001 2369 4728Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Faculty of Medicine, University of Tsukuba, 2-1-1 Tennodai, Tsukuba, Ibaraki 305-8576 Japan
| | - Masanao Kurata
- Department of Surgery, Mito Kyodo General Hospital, 3-2-7 Miya-Machi, Ibaraki, 310-0015 Japan ,grid.20515.330000 0001 2369 4728Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Faculty of Medicine, University of Tsukuba, 2-1-1 Tennodai, Tsukuba, Ibaraki 305-8576 Japan
| | - Tomoaki Furuta
- Department of Surgery, Mito Kyodo General Hospital, 3-2-7 Miya-Machi, Ibaraki, 310-0015 Japan
| | - Osamu Ishibashi
- Department of Surgery, Mito Kyodo General Hospital, 3-2-7 Miya-Machi, Ibaraki, 310-0015 Japan
| | - Satoshi Inagawa
- Department of Surgery, Mito Kyodo General Hospital, 3-2-7 Miya-Machi, Ibaraki, 310-0015 Japan
| | - Hiroyuki Ariga
- Department of Internal Medicine, Mito Kyodo General Hospital, 3-2-7 Miya-Machi, Ibaraki, 310-0015 Japan
| | - Junya Kashimura
- Department of Internal Medicine, Mito Kyodo General Hospital, 3-2-7 Miya-Machi, Ibaraki, 310-0015 Japan
| | - Hitomi Kawai
- Department of Diagnostic Pathology, Mito Kyodo General Hospital, 3-2-7 Miya-Machi, Ibaraki, 310-0015 Japan
| | - Norio Takayashiki
- Department of Diagnostic Pathology, Mito Kyodo General Hospital, 3-2-7 Miya-Machi, Ibaraki, 310-0015 Japan
| | - Tatsuya Oda
- grid.20515.330000 0001 2369 4728Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Faculty of Medicine, University of Tsukuba, 2-1-1 Tennodai, Tsukuba, Ibaraki 305-8576 Japan
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8
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Badiani S, Kashkooli S, Tang M, Strugnell N. A short cut to gut: gastrocolic fistula secondary to gastrointestinal tuberculosis (TB). ANZ J Surg 2023; 93:407-409. [PMID: 35754386 DOI: 10.1111/ans.17855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Accepted: 06/01/2022] [Indexed: 12/01/2022]
Affiliation(s)
- Sarit Badiani
- Department of Colorectal Surgery, The Northern Hospital, Melbourne, Victoria, Australia
| | - Soleiman Kashkooli
- Department of Gastroenterology, The Northern Hospital, Melbourne, Victoria, Australia
| | - Mark Tang
- Department of Infectious Disease, University of Melbourne, Melbourne, Victoria, Australia
| | - Neil Strugnell
- Department of Colorectal Surgery, The Northern Hospital, Melbourne, Victoria, Australia.,University of Melbourne, Melbourne, Victoria, Australia
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9
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Mansour S, Marjiyeh-Awwad R, Khuri S. Gastrocolic Fistula: An Extraordinary Gastrointestinal Fistula. Gastroenterology Res 2022; 15:308-313. [PMID: 36660466 PMCID: PMC9822667 DOI: 10.14740/gr1576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Accepted: 11/10/2022] [Indexed: 12/18/2022] Open
Abstract
Gastrocolic (GC) fistula, a rare gastrointestinal pathological condition, is defined as an abnormal connection between the stomach and the colon. Mostly, it involves the greater curvature of the stomach and the transverse part of the colon. Its precise incidence rate is unknown and largely differs between western and eastern nations. Etiological causes differ as well between the two worlds. Although several precipitating diseases are reported, nowadays, the most common causes are malignant diseases of the stomach (eastern countries) and colon (western world). Patients with GC fistulas usually present late and complain mainly of vomiting, diarrhea, and severe weight loss. This in turn leads to malnutrition, vitamin deficiencies and electrolyte disturbances. Being a rare condition, and usually forgotten, diagnosis is usually challenging to the treating physicians. Workup usually involves a combination of radiological and endoscopic tests. Long-term survival is unknown, and patients usually have poor prognosis. The aim of this review is to summarize the relevant articles in the English literature for this abnormal medical condition, with emphasis on the different etiologies, pathogenesis, clinical presentation, and management, in order to increase physicians' awareness of such uncommon medical problem.
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Affiliation(s)
- Subhi Mansour
- Department of General Surgery, Rambam Health Care Campus, Haifa, Israel
| | | | - Safi Khuri
- HepatoPancreatoBiliray (HPB) and Surgical Oncology Unit, Rambam Health Care Campus, Haifa, Israel,Corresponding Author: Safi Khuri, HPB and Surgical Oncology Unit, General Surgery Department, Rambam Health Care Campus, Haa’leya Hashniya, Haifa 31096, Israel.
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10
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Outpatient closure in a late colo-cutaneous postoperative anastomotic leak managed with EVAC in Bucaramanga, Colombia. Case report. Int J Surg Case Rep 2022; 100:107737. [PMID: 36327863 PMCID: PMC9626932 DOI: 10.1016/j.ijscr.2022.107737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 09/21/2022] [Accepted: 10/04/2022] [Indexed: 11/12/2022] Open
Abstract
Introduction After Hartmann-type colostomy, the adequate selection of some patients allows reversal and closure of the colostomy, however, this reversal is not free of complications. Among complications, anastomotic leaks and fistulae can have functional, economic, and oncological consequences. Complications have been treated with surgery; yet, this management has changed considerably in recent years, moving towards less invasive therapies. Presentation of case This is the report of a 42-year-old man with a history of closed abdominal trauma with perforation of the sigmoid colon managed with a Hartmann-type colostomy. Six months later, he was admitted for a Hartmann reversal procedure without immediate complications. He was assessed again after 4 months observing a small area of erythema and periumbilical edema. EUS was performed without evidence of collections. Colonoscopy evidenced a 7-mm fistulous orifice in the colocolonic anastomosis. The Endo-VAC system was used, performing endoscopically exchanges twice a week following a low-residue diet. The procedure was performed on an outpatient basis and the closure of the leak hole in the colonic anastomosis was achieved in 30 days. Discussion Endoluminal vacuum therapy or EVAC, is an adaptation of the therapy used for negative pressure wound closure. This minimally invasive technique has been used for the treatment of gastrointestinal leaks and fistulae in selected patients and within a hospital setting. Our case presents the use of this technique in a late colocutaneous postoperative leak on an outpatient basis. Conclusion To the best of our knowledge we report the first case of a late colocutaneous anastomotic leak managed with EVAC on an outpatient basis. Endoluminal vacuum therapy (EVAC) is an adaptation of the therapy used for negative pressure wound closure. We report the first case of a late colocutaneous postoperative fistula managed with EVAC on an outpatient basis. In selected patients, the EndoVac therapy can be performed using easily accessible and low-cost supplies.
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11
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Menni A, Tzikos G, Rafailidis V, Krokou D, Karlafti E, Michalopoulos A, Paramythiotis D. Gastrocolic fistula in Crohn's disease: A case report and review of the literature. Radiol Case Rep 2022; 17:4756-4760. [PMID: 36212753 PMCID: PMC9535290 DOI: 10.1016/j.radcr.2022.09.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Revised: 08/29/2022] [Accepted: 09/04/2022] [Indexed: 11/25/2022] Open
Abstract
Gastrointestinal fistulas constitute a rare type of abdominal fistula and an uncommon complication in the setting of Crohn's disease. In this case presentation we study the treatment of a gastrointestinal fistula between the transverse colon and the stomach in a patient with Crohn's disease and present a review of the available literature. A 53-year-old female patient with history of Crohn's disease presented to the Emergency Department of our Hospital due to reported abdominal pain and clinical symptoms of incomplete ileus with no other specific symptoms. Imaging investigation included plain radiography and computed tomography of the abdomen and revealed mural thickening of the transverse colon for an approximately 10 cm long segment, with the possible presence of gastrocolic fistula. During the exploratory laparotomy, an inflammatory mass was found in the middle of the transverse colon and the communication with the stomach was confirmed. Excision of the affected part of the transverse colon and cuneiform resection of the stomach in the area of the fistula was performed. The patient presented smooth and uncomplicated postoperative period and was discharged on the 10th postoperative day. Gastrointestinal fistulas are an uncommon complication of Crohn's disease, often with an intense clinical manifestation from the upper and lower digestive tract. Surgical treatment, either open or laparoscopic, of gastrointestinal fistulas due to Crohn's disease is the "gold-standard" method, both to control the disease and avoid further complications.
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Affiliation(s)
- Alexandra Menni
- 1st Propedeutic Department of Surgery, Aristotle's University of Thessaloniki, AHEPA University Hospital, Adamantiou Korai 29, Plagiari, 57500 Thessaloniki, Greece,Corresponding author.
| | - Georgios Tzikos
- 1st Propedeutic Department of Surgery, Aristotle's University of Thessaloniki, AHEPA University Hospital, Adamantiou Korai 29, Plagiari, 57500 Thessaloniki, Greece
| | - Vasileios Rafailidis
- Department of Radiology, AHEPA University Hospital of Thessaloniki, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Despoina Krokou
- 1st Propedeutic Department of Surgery, Aristotle's University of Thessaloniki, AHEPA University Hospital, Adamantiou Korai 29, Plagiari, 57500 Thessaloniki, Greece
| | - Eleni Karlafti
- Emergency Department, Aristotle's University of Thessaloniki, AHEPA University Hospital, Thessaloniki, Greece
| | - Antonios Michalopoulos
- 1st Propedeutic Department of Surgery, Aristotle's University of Thessaloniki, AHEPA University Hospital, Adamantiou Korai 29, Plagiari, 57500 Thessaloniki, Greece
| | - Daniel Paramythiotis
- 1st Propedeutic Department of Surgery, Aristotle's University of Thessaloniki, AHEPA University Hospital, Adamantiou Korai 29, Plagiari, 57500 Thessaloniki, Greece
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12
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Persaud T, Dawod E, Shah S, Sharaiha R, Sampath K. Endoscopic management of gastrojejunocolic fistula after endoscopic gastrojejunostomy. VideoGIE 2022; 7:395-397. [DOI: 10.1016/j.vgie.2022.07.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Ravindranath A, Sen Sarma M, Yachha SK. Congenital enterocolic fistula discovered by jejunoscopy. Pediatr Neonatol 2022; 63:188-189. [PMID: 34922849 DOI: 10.1016/j.pedneo.2021.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Revised: 09/23/2021] [Accepted: 10/07/2021] [Indexed: 02/07/2023] Open
Affiliation(s)
- Aathira Ravindranath
- Department of Pediatric Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, India
| | - Moinak Sen Sarma
- Department of Pediatric Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, India.
| | - Surender Kumar Yachha
- Department of Pediatric Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, India
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14
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Gastrocolic Fistula Management in a Pregnant Patient. ACG Case Rep J 2021; 8:e00602. [PMID: 34549069 PMCID: PMC8443834 DOI: 10.14309/crj.0000000000000602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Accepted: 02/16/2021] [Indexed: 11/17/2022] Open
Abstract
We present a case of a pregnant woman admitted for malnutrition secondary to a large gastrocolic fistula (GCF). She has a history of perforated duodenal ulcer that required surgical pyloroplasty 6 years ago. This fistula was diagnosed on the gastrointestinal barium series showing direct transit of barium from the stomach to the colon. An upper endoscopy showed a large gastrocolonic fistula with stool leaking to the stomach. Her nutrition was optimized, then she underwent surgical repair. GCF is suspected in the patient presenting with malnutrition with a history of intra-abdominal surgery.
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15
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Sharma S, Bhatia R, Vasudevan A. Abdominal Pain and Diarrhea in Peptic Ulcer Disease. Gastroenterology 2021; 161:e48-e49. [PMID: 33421517 DOI: 10.1053/j.gastro.2021.01.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/05/2020] [Revised: 12/31/2020] [Accepted: 01/05/2021] [Indexed: 12/02/2022]
Affiliation(s)
- Shweta Sharma
- Department of Gastroenterology, Eastern Health, Box Hill, Victoria, Australia.
| | - Rajesh Bhatia
- Department of Gastroenterology, Eastern Health, Box Hill, Victoria, Australia
| | - Abhinav Vasudevan
- Department of Gastroenterology, Eastern Health, Box Hill, Victoria, Australia
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Abstract
Over-the-counter analgesic medications are widely used amongst American adults and are also available in powder forms. Their adverse effects have been well documented in literature. Gastrocolic fistulas as a complication of peptic ulcer disease from analgesic powder usage have been previously unreported. Here, we report a patient with upper gastrointestinal bleeding and acute anaemia secondary to peptic ulcer complicated by gastrocolic fistula in a patient using analgesic powder.
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Affiliation(s)
- Raja Samir Khan
- Department of Medicine, West Virginia University, Morgantown, West Virginia, USA
| | - Sardar Momin Shah-Khan
- Department of Medicine, Section of Digestive Diseases, West Virginia University, Morgantown, West Virginia, USA
| | - Justin Kupec
- Department of Medicine, Section of Digestive Diseases, West Virginia University, Morgantown, West Virginia, USA
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Hong T, Koh D, Gray A. Gastrocolonic fistula: a rare complication of upper gastrointestinal surgery. J Surg Case Rep 2021; 2021:rjab181. [PMID: 34017589 PMCID: PMC8121443 DOI: 10.1093/jscr/rjab181] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Accepted: 04/17/2021] [Indexed: 11/14/2022] Open
Abstract
A gastrocolonic fistula is a rare surgical presentation, typically in the setting of gastric or colonic malignancy. This report presents the first reported Australian case of a gastrocolonic fistula following upper gastrointestinal surgery. A middle-aged woman presented to emergency with a short history of severe abdominal pain, faeculent vomiting, profuse diarrhoea and weight loss. This was in the setting of a previous pylorus-preserving pancreaticoduodenectomy complicated by marginal ulceration, for which a distal gastrectomy and Roux-en-Y reconstruction was required. The rarity of gastrocolonic fistulae and non-specific presentation with diarrhoea, vomiting and weight loss can make the diagnosis challenging. The mainstay of management is surgical resection in both benign and malignant disease.
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Affiliation(s)
- Trudy Hong
- Department of General Surgery, Monash Health, Clayton, Victoria, Australia
| | - Dion Koh
- Department of General Surgery, Monash Health, Clayton, Victoria, Australia
| | - Andrew Gray
- Department of General Surgery, Monash Health, Clayton, Victoria, Australia
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Leong W, Xu M, Ni L, Su J, Yang D. A gastro-colic fistula secondary to high-grade B-cell gastric lymphoma in a patient with AIDS: a case report. J Int Med Res 2021; 49:3000605211006602. [PMID: 33884916 PMCID: PMC8074477 DOI: 10.1177/03000605211006602] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
To the best of our knowledge, there are no previous reports of a gastro-colic fistula (GCF) secondary to primary high-grade B-cell gastric lymphoma associated with acquired immunodeficiency syndrome (AIDS). Here, we report a 37-year-old man who presented with paroxysmal abdominal pain for 4 months, diarrhea for 15 days and weight loss of 4 kg. He had a history of human immunodeficiency virus (HIV) infection and was diagnosed with AIDS in 2013. The patient was diagnosed with a GCF secondary to primary high-grade B-cell gastric lymphoma by gastroscopy and histopathological examination. Two weeks after diagnosis, he died in another hospital. This is an uncommon case in which the GCF occurred secondary to malignant gastric lymphoma in a patient with AIDS. Supported by the literature, patients with HIV infection who complain of abdominal pain or a mass, severe diarrhea, and weight loss should be assessed for a GCF secondary to lymphoma because of its worse prognosis.
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Affiliation(s)
- Waiian Leong
- Division of Gastroenterology & Hepatology, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China.,Department of Accident & Emergency, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China
| | - Mingfeng Xu
- Division of Gastroenterology & Hepatology, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China
| | - Li Ni
- Division of Gastroenterology & Hepatology, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China
| | - Jiajun Su
- Department of Anatomical Pathology, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China
| | - Dongye Yang
- Division of Gastroenterology & Hepatology, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China
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The First Report of Laparoscopic Multivisceral Resection for a Gastrocolic Fistula Secondary to Colon Cancer. Surg Laparosc Endosc Percutan Tech 2021; 30:e8-e12. [PMID: 31985573 DOI: 10.1097/sle.0000000000000753] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Colon cancer rarely presents with a gastrocolic fistula and resection, if feasible, is usually carried out by open surgery. The authors present the first literature case report of laparoscopic multivisceral resection for gastrocolic fistula secondary to locally advanced colon cancer. MATERIALS AND METHODS A 54-year-old man presented with feculant vomiting, cachexia, and severe iron deficiency anemia. Investigations confirmed a large nonmetastatic splenic flexure colon cancer with fistulation into the stomach. After 10 weeks of nutritional support and laparoscopic defunctioning proximal transverse loop colostomy, we proceeded to laparoscopic extended left hemicolectomy with en bloc sleeve gastrectomy and partial splenectomy. RESULT The procedure was completed laparoscopically (operating time, 400 min; blood loss, 150 mL). He was discharged on the 6th postoperative day after an uneventful recovery. Histology showed an R0 resection of a pT4N1a (1/45 lymph nodes involved) colon cancer with gastrocolic fistula. CONCLUSION Laparoscopic multivisceral en bloc R0 resection of locally advanced colon cancer with gastrocolic fistula can be accomplished safely in experienced hands.
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A Rare Case of Metastatic Colon Cancer in a Patient With Squamous Cell Carcinoma of the Tongue. ACG Case Rep J 2021; 8:e00529. [PMID: 33457440 PMCID: PMC7808554 DOI: 10.14309/crj.0000000000000529] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2020] [Accepted: 09/04/2020] [Indexed: 11/21/2022] Open
Abstract
Squamous cell carcinoma (SCC) of the colon, both primary and metastatic, are extremely rare malignancies. We present a case of a 60-year-old man with metastatic SCC of the tongue status after radiation and chemotherapy who presented with fatigue and melena. Colonoscopy revealed a 5 cm mass in the transverse colon. Pathology established the diagnosis of poorly differentiated SCC with p16 immunostaining, similar to biopsies from his initially diagnosed lingual cancer. To the best of our knowledge, there are no previously reported cases of primary SCC of the tongue metastasizing to the colon.
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Andrew D, Shyam K, Johny J, Beaty S. Elderly male patient with gastrocolic fistula following severe acute necrotising pancreatitis. BMJ Case Rep 2021; 14:14/1/e240426. [PMID: 33414125 PMCID: PMC7797264 DOI: 10.1136/bcr-2020-240426] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Affiliation(s)
- Dhilip Andrew
- Radiology, St John's Medical College Hospital, Bangalore, Karnataka, India
| | - Karthik Shyam
- Radiology, St John's Medical College Hospital, Bangalore, Karnataka, India
| | - Jovis Johny
- Radiology, St John's Medical College Hospital, Bangalore, Karnataka, India
| | - Sadhana Beaty
- Radio Diagnosis, St John's Medical College Hospital, Bangalore, Karnataka, India
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Irwin S, Donlon NE, Mohan H, Reynolds JV. Gastro-cholecysto-colic fistula. Case report of an idiopathic case, and management approach. J Surg Case Rep 2020; 2020:rjaa162. [PMID: 32864091 PMCID: PMC7449391 DOI: 10.1093/jscr/rjaa162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Accepted: 05/06/2020] [Indexed: 11/14/2022] Open
Abstract
A 71-year-old lady presented with a 4-week-history of epigastric pain, feculent vomiting, diarrhoea and weight-loss. On subsequent investigations, she was found to have a complex gastro-cholecysto-colic fistula with no clear underlying aetiology. The only abnormality both macroscopically and microscopically was ulceration and inflammation in the colon. However, this was not pathognomonic of inflammatory bowel disease, and (gastric) acid-induced inflammation is an alternative explanation. Herein we present her case, her comprehensive evaluation, her successful surgical management and a review of the relevant literature.
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Affiliation(s)
- Shane Irwin
- Upper GI surgery department, St. James Hospital, Dublin, Ireland
| | | | - Helen Mohan
- Upper GI surgery department, St. James Hospital, Dublin, Ireland
| | - John V Reynolds
- Upper GI surgery department, St. James Hospital, Dublin, Ireland.,Trinity College Dublin, Dublin, Ireland
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Al Shaibi M, Al Abri M, Al Mahruqi G, Mittal A. Complex gastro-colo-cutaneous fistula secondary to a gunshot injury, management and literature review. Trauma Case Rep 2020; 28:100313. [PMID: 32577492 PMCID: PMC7303664 DOI: 10.1016/j.tcr.2020.100313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/16/2020] [Indexed: 10/28/2022] Open
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Tao Z, Zhou X, Zhang Y. Curing an old gastrocolic fistula using an endoscopic submucosal incision and a purse suture. Dig Endosc 2020; 32:e3-e4. [PMID: 31637779 DOI: 10.1111/den.13525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2019] [Accepted: 09/03/2019] [Indexed: 02/08/2023]
Affiliation(s)
- Zhang Tao
- Department of Gastroenterology, Nanchong Central Hospital, The Second Clinical Medical College, North Sichuan Medical College, Nanchong, China
| | - Xiaoqing Zhou
- Department of Gastroenterology, Nanchong Central Hospital, The Second Clinical Medical College, North Sichuan Medical College, Nanchong, China
| | - Yan Zhang
- Department of Gastroenterology, Nanchong Central Hospital, The Second Clinical Medical College, North Sichuan Medical College, Nanchong, China
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Montoya-Ramírez J, Aguilar-Espinosa F, Gutiérrez-Salinas J, Blas-Azotla R, Aguilar-Soto OA. Robot-assisted surgery and endoscopic management of gastrocolic fistula: A rare complication of acute pancreatitis in a patient who had undergone sleeve gastrectomy. Asian J Endosc Surg 2019; 12:465-468. [PMID: 30569588 DOI: 10.1111/ases.12679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2017] [Accepted: 11/11/2018] [Indexed: 11/26/2022]
Abstract
Ten years after undergoing sleeve gastrectomy, a 39-year-old man developed pancreatitis and, after recovery, presented with severe diarrhea. An image study showed barium contrast passing from the stomach to the colon. Before surgery, initial treatment consisted of parenteral nutrition and antibiotics. The patient then underwent robot-assisted resection of a gastrocolic fistula and omentoplasty. However, 72 h after surgery, the amount of suction drainage suggested that the fistulous track repair was leaking. Therefore, we decided to perform endoscopy to place a self-expanding covered stent at the gastroesophageal junction as well as a nasojejunal tube to continue nutritional supplementation. After the patient had fasted for 2 weeks, there was no evidence of leakage in the image studies. The patient was discharged after he had clinically improved, and the stent was removed at the end of 8 weeks. The combination of robot-assisted surgery and endoscopic management is effective for treating gastrocolic fistula.
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Affiliation(s)
- Jesús Montoya-Ramírez
- Bariatric and General Surgery, National Medical Center "20 November" Institute of Security and Social Services of State Workers, Mexico City, Mexico
| | - Francisco Aguilar-Espinosa
- Bariatric and General Surgery, National Medical Center "20 November" Institute of Security and Social Services of State Workers, Mexico City, Mexico
| | - José Gutiérrez-Salinas
- Laboratory of Biochemistry and Experimental Medicine, National Medical Center "20 November" Institute of Security and Social Services of State Workers, Mexico City, Mexico
| | - Ricardo Blas-Azotla
- Bariatric and General Surgery, National Medical Center "20 November" Institute of Security and Social Services of State Workers, Mexico City, Mexico
| | - Oscar A Aguilar-Soto
- Division of Endoscopy, National Medical Center "20 November" Institute of Security and Social Services of State Workers, Mexico City, Mexico
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Hong TC, Wu MS, Liou JM. A rare case of gastrocolic fistula caused by benign gastric ulcer. ADVANCES IN DIGESTIVE MEDICINE 2018; 5:142-144. [DOI: 10.1002/aid2.13096] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/30/2023]
Affiliation(s)
- Tzu-Chan Hong
- Department of Internal Medicine; National Taiwan University Hospital; Taipei Taiwan
| | - Ming-Shiang Wu
- Department of Internal Medicine; National Taiwan University Hospital; Taipei Taiwan
| | - Jyh-Ming Liou
- Department of Internal Medicine; National Taiwan University Hospital; Taipei Taiwan
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El Sayegh J, Nicolas G, Yammine K, Tayar C. Resolution of late-onset gastro-colic fistula after laparoscopic sleeve gastrectomy by conservative management: a case report. Clin Case Rep 2018; 6:1342-1346. [PMID: 29988675 PMCID: PMC6028443 DOI: 10.1002/ccr3.1551] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2017] [Revised: 03/17/2018] [Accepted: 03/27/2018] [Indexed: 11/07/2022] Open
Abstract
Nutritional support and Antibiotics treatment can be used as conservative treatment for the resolution of gastro-colic fistula after sleeve gastrectomy in stable patients specially to prevent cumbersome redo surgeries that have higher risks of complications particularly in patients with minimal financial means.
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Affiliation(s)
| | - Gregory Nicolas
- Lebanese American University Medical Center – Rizk HospitalBeirutLebanon
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Alrahbi R, Al Ayoubi F, Bessayah A, Hamodat M. Colosplenic fistula: case report. ANZ J Surg 2018. [DOI: 10.1111/ans.14696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
| | | | | | - Mowafak Hamodat
- Department of Pathology; Shaikh Khalifa Medical City; Abu Dhabi UAE
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Aslam F, El-Saiety N, Samee A. Gastrocolic fistula, a rare complication. BJR Case Rep 2018; 4:20170121. [PMID: 30931133 PMCID: PMC6438397 DOI: 10.1259/bjrcr.20170121] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2017] [Revised: 05/10/2018] [Accepted: 05/21/2018] [Indexed: 11/05/2022] Open
Abstract
A 77-year-old male presented with diarrhoea, weight loss and faeculent vomiting. CT scan identified a stricturing lesion in the transverse colon. The man, however, had no features suggestive of large bowel obstruction. This unusual presentation of faeculent vomiting raised a suspicion of a possible communication between the colon and stomach. A subsequent CT scan with oral contrast confirmed the presence of a gastrocolic fistula. During explorative laparotomy, a transverse colonic tumour communicating into the stomach via the gastrocolic fistula was detected. The patient underwent an extended right hemicolectomy and distal gastrectomy as a palliative measure. A gastrocolic fistula is a rare, yet important find and should be recognized as a possible sequel of this disease process.
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Affiliation(s)
- Farah Aslam
- Department of General Surgery, Newham University Hospital, Barts Health NHS Trust, London, UK
| | - Nabil El-Saiety
- Department of Radiology, Royal Oldham Hospital, Pennine Acute Hospitals NHS Trust, Manchester, UK
| | - Abdus Samee
- Department of Radiology, Royal Oldham Hospital, Pennine Acute Hospitals NHS Trust, Manchester, UK
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Yoshikawa T, Ohana M, Fukuda A. An Unusual Cause of Halitosis. Gastroenterology 2018; 154:e15-e17. [PMID: 28865731 DOI: 10.1053/j.gastro.2017.08.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2017] [Revised: 08/11/2017] [Accepted: 08/24/2017] [Indexed: 12/02/2022]
Affiliation(s)
- Takaaki Yoshikawa
- Department of Gastroenterology and Hepatology, Kyoto University Graduate School of Medicine, Kyoto, Japan
| | - Masaya Ohana
- Department of Gastroenterology and Hepatology, Kyoto University Graduate School of Medicine, Kyoto, Japan
| | - Akihisa Fukuda
- Department of Gastroenterology and Hepatology, Kyoto University Graduate School of Medicine, Kyoto, Japan
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Abstract
Crohn's disease (CD) leads to the development of complications through progressive uncontrolled inflammation and the transmural involvement of the bowel wall. Most of the available literature on penetrating CD focuses on the perianal phenotype. The management of nonperianal penetrating complications poses its own set of challenges and can result in significant morbidity and an increased risk of mortality. Few controlled trials have been published evaluating this subgroup of patients for clinicians to use for guidance. Utilizing the available evidence, we review the epidemiology, presentation, and modalities used to diagnosis and assess intestinal fistulas, phlegmons, and abscesses. The literature regarding the medical, endoscopic, and surgical management options are reviewed providing physicians with a therapeutic framework to comprehensively treat these nonperianal penetrating complications. Through a multidisciplinary evidence-based approach to the complex sequela of CD outcomes can be improved and patient's quality of life enhanced.10.1093/ibd/izx108_video1izx108_Video5754037501001.
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Affiliation(s)
- Robert P Hirten
- The Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
| | - Shailja Shah
- The Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
| | - David B Sachar
- The Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
| | - Jean-Frederic Colombel
- The Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
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DCunha AR, Jehangir S. Gastrocolic fistula in a child following corrosive acid ingestion. BMJ Case Rep 2017; 2017:bcr-2016-217330. [PMID: 28433969 DOI: 10.1136/bcr-2016-217330] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Gastrocolic fistulas in children are most commonly seen after placement of a percutaneous endoscopic gastrostomy. We present a 14-year-old girl who developed a gastrocolic fistula following accidental corrosive acid ingestion. On evaluation of her symptoms, a barium swallow identified the gastrocolic fistula. It healed spontaneously in 3 months. This was both unexpected and remarkable. To the best of our knowledge this is the first case of a gastrocolic fistula occurring following corrosive ingestion.
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Affiliation(s)
- Aureen Ruby DCunha
- Paediatric Surgery, Christian Medical College and Hospital Vellore, Vellore, India
| | - Susan Jehangir
- Paediatric Surgery, Christian Medical College and Hospital Vellore, Vellore, India
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Nayfe R, Ascha MS, Ismail M, Salvino R. Gastrocolic Fistula as a Presentation of Concomitant Gastric and Colon Cancer in a Patient with a History of Metastatic Pancreatic Adenocarcinoma. J Gastrointest Cancer 2016; 48:379-381. [PMID: 27251299 DOI: 10.1007/s12029-016-9841-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Rabih Nayfe
- Department of Internal Medicine, Cleveland Clinic Akron General, 1st Akron General ave., Akron, OH, USA.
| | - Mustafa S Ascha
- Department of Physiology and Biophysics, Case Western Reserve University, Cleveland, OH, USA
| | - Mayada Ismail
- Department of Internal Medicine, Cleveland Clinic Akron General, 1st Akron General ave., Akron, OH, USA
| | - Richard Salvino
- Department of Internal Medicine, Cleveland Clinic Akron General, Northeast Ohio Medical University, Akron, OH, USA
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Gastrocolic Fistula: A Shortcut through the Gut. Can J Gastroenterol Hepatol 2016; 2016:6379425. [PMID: 27446856 PMCID: PMC4904662 DOI: 10.1155/2016/6379425] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2015] [Accepted: 06/26/2015] [Indexed: 11/17/2022] Open
Abstract
Gastrocolic fistulas are observed in association with several conditions. Traditionally, peptic ulcer disease was commonly implicated in the formation of gastrocolic fistulas; however, this is now a rare etiology. Here, we present a case of gastrocolic fistula secondary to peptic ulcer disease alone, in addition to reviewing the literature and providing options for diagnosis and treatment.
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Breitenbauch MTW, Tøttrup A. Successful Palliation of a Malignant Cologastric Fistula with a Covered Self-Expanding Metal Stent. Clin Endosc 2015; 48:576-8. [PMID: 26668809 PMCID: PMC4676660 DOI: 10.5946/ce.2015.48.6.576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2014] [Revised: 03/04/2015] [Accepted: 03/25/2015] [Indexed: 11/14/2022] Open
Abstract
When patients present with malignant cologastric fistulas, the tumor stage is often advanced and management is only palliative. We report the case of a 75-year-old man with a symptomatic cologastric fistula arising from an advanced tumor in the transverse colon, previously stented owing to malignant obstruction. An 8-cm-long covered self-expanding metal stent (COMVI enteral colonic stent; Taewoong Medical) was placed inside the primary stent, which sealed the fistula and completely alleviated the symptoms. Considering the successful outcome, we propose that insertion of a covered stent be considered in the palliative management of patients with malignant cologastric fistulas.
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Affiliation(s)
| | - Anders Tøttrup
- Department of Surgical Gastroenterology, Aarhus University Hospital, Aarhus, Denmark
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Zhou B, Li W. A case of gastrocolic fistula secondary to adenocarcinoma of the colon. Int J Surg Case Rep 2015; 15:46-9. [PMID: 26318125 PMCID: PMC4601962 DOI: 10.1016/j.ijscr.2015.08.023] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2015] [Revised: 08/13/2015] [Accepted: 08/14/2015] [Indexed: 12/14/2022] Open
Abstract
INTRODUCTION Gastrocolic fistula secondary to colon carcinoma is a rare entity. The common cause of gastrocolic fistula is different between eastern and western countries. Gastrocolic fistula may present many manifestations. PRESENTATION OF CASE We present a case report of gastrocolic fistula in a 59-year-old male patient with colon adenocarcinoma, diagnosed on digestive endoscopy, CT scanning and barium enema. Radical en-bloc surgery was undertaken based on patient's symptom, the size and the nature of the tumor. DISCUSSION The typical symptoms of gastrocolic fistula include abdominal pain, vomiting, diarrhea, emaciation, anemia, hypoaluminemia, weight loss and ascites. There are many methods to diagnose gastrocolic fistula, but barium enema is the most accepted way nowadays. CONCLUSION It is rare for gastrocolic fistula case to be caused by colon adenocarcinoma, and has been rarely reported inside China. The best therapy of gastrocolic fistula remains radical en-bloc surgery.
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Affiliation(s)
- BiaoHuan Zhou
- Department of Surgical oncology, Fujian Medical University (Fujian Provincial Hospital), Fu Zhou, China.
| | - WeiHua Li
- Department of Surgical oncology, Fujian Provincial Hospital, Fu Zhou, China.
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Harkin S, Gananadha S. Gastrocolic fistula: a rare sequela of colonic adenocarcinoma. J Gastrointest Surg 2014; 18:2230-1. [PMID: 25294185 DOI: 10.1007/s11605-014-2665-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2014] [Accepted: 09/19/2014] [Indexed: 01/31/2023]
Affiliation(s)
- Samuel Harkin
- Australian National University Medical School, Hospital Road, Garran, Australian Capital Territory, 2605, Australia,
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Winata LSH, Kong CH, Thiruchelvam D. A case of a bleeding benign gastrocolic fistula in 2014. Int J Surg Case Rep 2014; 5:948-50. [PMID: 25460443 PMCID: PMC4275832 DOI: 10.1016/j.ijscr.2014.08.020] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2014] [Revised: 08/25/2014] [Accepted: 08/25/2014] [Indexed: 11/17/2022] Open
Abstract
The symptoms of gastrocolic fistulae are often undifferentiated. Barium enemas are the most accurate for diagnosis but gastroscopy should be performed to rule out malignancy. The mainstay of treatment of gastrocolic fistulae is surgical.
INTRODUCTION In the era of proton pump inhibitors in the treatment of peptic ulcer disease, the incidence of a gastrocolic fistula arising from unoperated gastric ulcers is extremely low. PRESENTATION OF CASE We present the case of a 68-year old farmer who presented with melaena and was found to have a benign gastrocolic fistula in the setting of untreated peptic ulcer disease, chronic NSAID ingestion and heavy alcohol intake. The diagnosis was made by gastroscopy. En bloc surgery was undertaken due to the size of the fistula and concomitant significant bleeding of the ulcer which would not have made it amenable to medical management. DISCUSSION The symptoms of a gastrocolic fistula are undifferentiated and the diagnosis can easily be missed in the setting of other complications such as bleeding or perforation of a hollow viscus. Barium enamas are the most accurate for the diagnosis but gastroscopy with biopsy is usually performed to rule out malignancy. The mainstay of treatment is usually surgical, though patients can be medically managed if he/she is not a surgical candidate. CONCLUSION Benign gastrocolic fistulas are rare and its diagnosis is easily missed.
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Affiliation(s)
- Leon Shin-Han Winata
- Upper Gastrointestinal Surgery, St Vincent's Hospital, 41 Victoria Parade, Fitzroy, Vic 3065, Australia.
| | - Cherng Huei Kong
- Upper Gastrointestinal Surgery, St Vincent's Hospital, 41 Victoria Parade, Fitzroy, Vic 3065, Australia
| | - Dhan Thiruchelvam
- Upper Gastrointestinal Surgery, St Vincent's Hospital, 41 Victoria Parade, Fitzroy, Vic 3065, Australia
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