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KMID : 0191119960110050437
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Journal of Korean Medical Science
1996 Volume.11 No. 5 p.437 ~ p.439
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A case of combined gastrojejunal and gastrocolic fistula secondary to gastric cancer
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Choi SW
Yang JM/Kim SS/Kang SH/Ro HJ/Song KS/Ha HK/Lim KW/Kim JS
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Abstract
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A rare case of gastric cancer associated with gastrojejunal and gastrocolic fistula is presented. A 56-year-old man who had been diagnosed with advanced gastric cancer(Borrmann's type III) 5 months previously was admitted due to watery diarrhea and frequent vomiting for 2 weeks. Fluoroscopic examination was visualized two abnormal passage of contrast medium from the stomach, one to the colon, and the other to the jejunum. Gastrofiberscopy revealed that the tumor on the great curvature of the body appeared to penetrate into the colon, while the other one on the antrum directly invaded into the jejunum. The patient was treated conservatively with total parenteral nutrition and pain control.
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