Abstract
Gastrojejunocolic fistula (GJF) is a late and very rare complication of gastroenterostomy performed for recurrent peptic ulcer disease. The occurrence of perforation in a GJF is even more a rare complication because long evolution time or latent period is required for its appearance. Patients with this condition usually present with diarrhea, weight loss, feculent vomiting, under-nutrition and features of peritonitis that require immediate surgical intervention. Herewith we report a case of 60 year old male with perforation in a gastrojejunocolic fistula and its management.
Highlights
Gastrojejunocolic fistula is a rare complication of surgery for peptic ulcer disease
Gastrojejunocolic fistula is thought to be the late complication of inadequate surgery resulting from simple gastroenterostomy, inadequate gastric resection, or incomplete vagotomy [2]
Gastrojejunocolic fistula (GJF) is a rare complication of gastric surgery for APD and must be kept in mind whenever a patient comes with a history of faeculent vomiting, significant weight loss and diarrhea
Summary
Gastrojejunocolic fistula is a rare complication of surgery for peptic ulcer disease. Most patients with GJF present with a symptom triad of fecal vomiting/breath, chronic diarrhea, and weight loss[2,3] The causes for a Gastrojejunocolic fistula (GJF) include - post peptic ulcer disease surgery - inadequate gastric resection or incomplete vagotomy, malignancy, tuberculosis, trauma, diverticulitis: With today's improved surgical technique and equipment, the incidence of GJF has gone down and only occurs in approximately one out of seven individuals with marginal or recurrent ulceration [4]. Preliminary investigations sentBlood counts, renal function tests, X-Ray abdomen erect, chest XRay, Ultrasound of abdomen were all found to be within normal limits. He was resuscitated with IV fluids and was put on intravenous antibiotics and Pantoprazole.
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