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KMID : 0359020060330060364
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Korean Journal of Gastrointestinal Endoscopy
2006 Volume.33 No. 6 p.364 ~ p.367
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A Case of Gastrogastric Fistula as a Complication of Benign Gastric Ulcer
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Choi Sun-Taek
Eun Jong-Ryul
Lee Jeong-Hoon
Park Yoon-Sun
Choi Jae-Won
Kim Kook-Hyun
Jang Byung-Ik
Kim Tae-Nyeun
Lee Heon-Ju
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Abstract
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Gastrogastric fistula is an extremely rare complication of benign gastric ulcer. We report a case of gastrogastric fistula in a 67-year-old male who presented with symptoms of dyspnea on exertion, pretibial pitting edema, and dyspepsia. He suffered from a peptic ulcer 9 years ago and from a gastric outlet obstruction 5 years ago. A gastrogastric fistula was observed by endoscopy, and the biopsy forceps were passed through the fistulous tract. The patient was treated with proton pump inhibitors, and H. pylori was eradicated. Gastrogastric fistula, unlike other types of gastric fistulas, can be cured using non-surgical therapy as long as complications such as peritonitis, gastric outlet obstruction, and bleeding do not occur.
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KEYWORD
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Fistula, Gastrogastric fistula, Peptic ulcer
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