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KMID : 0381219730050010039
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Journal of RIMSK
1973 Volume.5 No. 1 p.39 ~ p.44
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GASTRO-COLIC FISTULLA
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김형태/kim, Hyung Tae
최상열/김성철/choi, Sang Yull/Kim, Sung Chul
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Abstract
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This is a case report of gastrocolic fistula, complicating of the advanced malignant disease of the stomach, which was experienced in surgical department of Sacred Heart Hospital, Medical Center of Chung-Ang University in Korea.
Gastrocolic fistula due to stomach cancer is rare. 54 years old male patient was referred to our department with symptoms of indigestion, malnutrition, weight loss.
On G-I series, duodenocolic fistula was suspected and its nature was seemed to be of benign origin. After supportive treatments with transfusion, plasma, fluid and electrolyte solution, and vitamin, exploratory laparatomy was done and gastric malignancy causing fistula was noted.
Gastric resection with gastrojejunostomy in Polya method, catheter duodenostomy, and resection of involved colon with end to end anastomosis were underwent.
The patient expired with sepsis due to infection, and anastomotic leakage on 7th postoperative day. A brief review of gastrocolic fistula was made.
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KEYWORD
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