Gastrocolic fistula: A rare complication of gastric carcinoma

ArticleinSingapore medical journal 50(8):e274-6 · September 2009with224 Reads
Source: PubMed
Abstract
Malignant gastrocolic fistula formation is a rare complication of gastric carcinoma. We report a cachectic 82-year-old woman who presented with upper abdominal pain, diarrhoea, loss of weight and loss of appetite. Further investigation of her symptoms revealed a gastrocolic fistula connecting the ulcerated tumour of the body of the stomach to the splenic flexure of the colon.
    • "Cologastric or gastrocolic fistula is a pathologic communication between a segment of the colon and the stomach , and may be caused by benign or malignant diseases of the gastrointestinal tract. It has been associated with diseases such as gastric tumors123, gastric ulcers [4, 5] and pancreatitis [6]. Symptoms tend to be nonspecific, but most patients present with a triad of diarrhea, weight loss and feculent vomiting. "
    [Show abstract] [Hide abstract] ABSTRACT: Introduction: Gastrocolic fistula is a rare complication of adenocarcinoma of the colon. Despite radical resections, these patients usually have a poor prognosis with a mean survival of 23 months and long-term survival is rarely reported. Case presentation: A 48-year-old Latino-American man presented with watery diarrhea, diffuse abdominal pain and weight loss for 3 months. A computed tomography scan revealed a mass in the splenic flexure that had infiltrated his stomach and diaphragm. Panendoscopy and colonoscopy confirmed the presence of a fistula between the distal transverse colon and the stomach, which was secondary to a colon cancer. His colon, stomach and left diaphragm were resected en bloc. A histological examination revealed a moderately differentiated adenocarcinoma of the colon that had infiltrated the full width of the gastric wall with 37 negative lymph nodes and clear surgical margins. Adjuvant chemotherapy with capecitabine and oxaliplatin was administered after surgery. Our patient is alive and without any recurrence 5 years after surgery. Conclusions: En bloc resection with adjuvant chemotherapy offers the best treatment option for gastrocolic fistulas. This is one of the patients with greater survival reported in the medical literature.
    Full-text · Article · Dec 2015
    • "The majority of GCFs in North America result from adenocarcinoma of the colon, while, in Eastern countries, gastric adenocarcinoma is most commonly implicated. The reported incidence is low, at 0.2% [3]. PUD has traditionally been implicated in GCF formation but has now become a rare cause as a result of improved PUD detection and treatment [4]. "
    [Show abstract] [Hide abstract] 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.
    Full-text · Article · Sep 2015
    • "In western world, the most common cause of gastrocolic fistula is transverse colon adenocarcinoma, with a reported incidence of 0.3–0.4 percent in operated cases [8,9], while gastric cancer is the most frequent cause in eastern countries [10], especially in Japan. The typical clinical manifestations of gastrocolic fistula are abdominal pain, vomiting with fecal odor, diarrhea, emaciation, anemia, hypoalbuminemia, weight loss and ascites. "
    [Show abstract] [Hide abstract] ABSTRACT: 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. 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. 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. 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. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.
    Full-text · Article · Aug 2015
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