Duodenocolic Fistula Caused by a Peptic Stomal Ulcer Following Distal Gastrectomy
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- Sawaguchi Masayuki
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
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- Jin Mario
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
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- Matsuhashi Tamotsu
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
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- Ohba Reina
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
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- Hatakeyama Natsumi
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
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- Koizumi Shigeto
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
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- Onochi Kengo
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
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- Tawaraya Shin
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
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- Watanabe Noboru
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
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- Uchinami Hiroshi
- Department of Gastroenterological Surgery, Akita University Graduate School of Medicine, Japan
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- Yamamoto Yuzo
- Department of Gastroenterological Surgery, Akita University Graduate School of Medicine, Japan
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- Ohnishi Hirohide
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
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- Mashima Hirosato
- Department of Gastroenterology, Akita University Graduate School of Medicine, Japan
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抄録
We herein describe the case of a 51-year-old man with a duodenocolic fistula (DCF) caused by a stomal ulcer. The patient complained of watery diarrhea, dysgeusia and malnutrition. His medical history included distal gastrectomy with Billroth I reconstruction for duodenal ulcer perforation. A combination study using endoscopy and contrast imaging confirmed the presence of DCF. Laparotomic fistulectomy was performed, which resulted in the patient's recovery from diarrhea and malnutrition. The histological findings suggested that the fistula had originated from a stomal ulcer. In patients with chronic watery diarrhea of obscure origin following gastrectomy, DCF is a possible cause of the diarrhea.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 52 (14), 1579-1583, 2013
一般社団法人 日本内科学会