Gastrocolic Fistula: An Extraordinary Gastrointestinal Fistula.

Barium enema Benign ulcer Gastrocolic fistula Malignant disease Surgical management Uncommon fistula

Journal

Gastroenterology research
ISSN: 1918-2805
Titre abrégé: Gastroenterology Res
Pays: Canada
ID NLM: 101519422

Informations de publication

Date de publication:
Dec 2022
Historique:
received: 05 10 2022
accepted: 10 11 2022
entrez: 20 1 2023
pubmed: 21 1 2023
medline: 21 1 2023
Statut: ppublish

Résumé

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.

Identifiants

pubmed: 36660466
doi: 10.14740/gr1576
pmc: PMC9822667
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

308-313

Informations de copyright

Copyright 2022, Mansour et al.

Déclaration de conflit d'intérêts

The authors have no conflict of interest to declare.

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Auteurs

Subhi Mansour (S)

Department of General Surgery, Rambam Health Care Campus, Haifa, Israel.

Rozan Marjiyeh-Awwad (R)

Department of General Surgery, Rambam Health Care Campus, Haifa, Israel.

Safi Khuri (S)

HepatoPancreatoBiliray (HPB) and Surgical Oncology Unit, Rambam Health Care Campus, Haifa, Israel.

Classifications MeSH