A CASE OF GASTROJEJUNAL FISTULA CASED BY BENIGN GASTRIC ULCER

概要

論文の詳細を見る
A case of the gastrojejunal fistula caused by benign gastric ulcer in a 35 year old male is reported. He was admitted to our hospital with chief complaint of epigastric discomfort during the last 10 years. Laboratoy findings were within normal limits and physical examination did not contributory. Upper GI series disclosed a fistula between the stomach and jejunum. Endoscopic examination revealed a fistula and gastric ulcer on the lesser curvature at the distal gastric body. Biopsy specimens under direct vision from the margin of fistula showed no malignancy. A subtotal gastrectomy was performed. A gastric ulcer was penetrated through the transverse mesocolon into the jejunum approximately 10cm. from the ligament of Treitz. Macroscopic finding of the resected stomach showed a fistula in diameter of 3.0×1.5cm and ulcer scars, on the posterior wall at the distal gastric body. Histological finding showed no Malignancy.A gastrocolic fistula and a gastrojejunocolic fistula from benign gastric ulcer are relatively common but a gastrojejunal fistula is rare. Of the 8 previously reported cases of the gastrojejunal fistula from benign gastric ulcer in literatures. This is the first case reported in Japanese literatures according to our survey.
財団法人日本消化器病学会の論文