A Case of Gastrojejunocolic Fistula Developed 15 Years after Surgery for Duodenal Ulcer
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- OKAZAKI Yasushi
- Department of Surgery, Yokohama Rosai Hospital
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- OOSHIMA Ikuya
- Department of Surgery, Yokohama Rosai Hospital
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- SHINOTOU Kouichi
- Department of Surgery, Yokohama Rosai Hospital
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- YOSHIMURA Seiji
- Department of Surgery, Yokohama Rosai Hospital
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- OOTA Yoshihito
- Department of Surgery, Yokohama Rosai Hospital
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- OZAKI Masahiko
- Department of Surgery, Yokohama Rosai Hospital
Bibliographic Information
- Other Title
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- 十二指腸潰瘍術後15年目に発症した胃空腸結腸瘻の1例
- 症例 十二指腸潰瘍術後15年目に発症した胃空腸結腸瘻の1例
- ショウレイ ジュウニシチョウ カイヨウ ジュツゴ 15ネンメ ニ ハッショウ シタ イ クウチョウ ケッチョウロウ ノ 1レイ
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Abstract
A 67-year-old man, who had a history of undergoing distal gastrectomy with Billroth II reconstruction for perforated duodenal ulcer 15 years previously, had complained of anorexia from 4 months earlier and lost body weight of 10 kg in about three months. He was admitted to our hospital because of recurrent bouts of vomiting and leg edema for close examination. The serum level of total protein was 4.8g/dl and the albumin level was 2.0g/dl, showing hypoproteinemia and hypoalbuminemia. An upper gastrointestinal endoscopy revealed a gastrojejunal anastomotic ulcer and a lumen continuing to the ulcer, and a contrast study confirmed a fistula to the transvers colon. The preoperative diagnosis was gastrojejunocolic fistula due to the anastomotic ulcer. Partial resection of the gastrojejunostomy and the transvers colon including the fistula with Roux-en-Y reconstruction was performed. Surgical site infection occurred after the operation but subsided, and he was discharged on the 34th postoperative day. It is necessary to consider gasrtojejunal fistula in differential diagnosis when patients who have undergone a gastrectomy for gastroduodenal ulcer suffer from such symptoms as significant weight loss or malnutrition.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 76 (5), 1036-1040, 2015
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390282679829353216
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- NII Article ID
- 130005110783
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 030763862
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed