Linked Life Data

17438897

Source:http://linkedlifedata.com/resource/pubmed/id/17438897

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2007-4-18
pubmed:abstractText
Gastrocolic fistula (GCF) is a rare and severe lesion appearing traditionally as a complication of inadequate gastric surgery or in the context of stomach or colon malignancy, but actually arising from many different gastrointestinal conditions. Three patients with GCF, admitted and operated in our clinic, are presented. The first case, a man aged 36 years, was a classical one, with a G(jejuno)CF appearing three years after a gastrectomy with Reichel-Polya reconstruction for duodenal ulcer, resolved by a "revision gastrectomy" en block with segmental resection of the jejunum and transverse colon. The second case, also a man aged 43 years, presented a spontaneous GCF determined by a gastric carcinoma, that required an en block enlarged gastro-colectomy. The last case, a 61 year-old woman, presented three weeks after an emergency concomitant cholecystectomy and appendicectomy, with clinical manifestation suggesting a subphrenic abscess. Although a contrast-enhanced CT revealed a communication between the great curvature of the stomach and the splenic flexure of the colon, no fistula was found at laparotomy (spontaneous healing?). However, the terminal ileum and ascending colon had a suggestive appearance of Crohn's disease (confirmed by pathology) and a right colectomy was done. Excepting the rare situation of spontaneous or after medical treatment healing, the mainstay therapy of GCF is the case-adapted surgery.
pubmed:language
rum
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0048-7848
pubmed:author
pubmed:issnType
Print
pubmed:volume
110
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
899-904
pubmed:dateRevised
2011-1-13
pubmed:meshHeading
pubmed:articleTitle
[Gastrocolic fistulas. Review of three cases].
pubmed:affiliation
Facultatea de Medicina Dentara, Universitatea de Medicina ?i Farmacie "Gr.T. Popa", Ia?i.
pubmed:publicationType
Journal Article, English Abstract, Case Reports