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KMID : 0371319840260020258
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Journal of the Korean Surgical Society
1984 Volume.26 No. 2 p.258 ~ p.265
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A Duodenocholecystocolic Fistula due to a Chronic Duodenal Ulcer, Post-bulbar
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심명석/Sim, Myung Suk
박길홍/장석효/백낙환/Park, Kil Hong/Chang, Suk Hyo/Paik, Nak Whan
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Abstract
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A 38-year old male patient, who had suffered from the epigastric pain for 3 years and frequent loose stool for 5~6 months, was believed to have a duodenocolic fistula and a chronic duodenal ulcer and probably a biliaryenteric fistula after a study with the endoscopy, UGI Series and Barium enema.
But at the operation table, he was found to have a rare disease complicated by a chronic post-bulbar duodenal ulcer--duodenocholecystocolic fistula, which is probably the first case in the world literature.
Hemigastrectomy with Biliroth Ⅱ gastrojejunostomy, cholecystectomy, and primary closure of the fistular openings of the duodenum and colon were proved to be an effective treatment.
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KEYWORD
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