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Gastrocolic fistula. A review of 15 cases and an update of the literature.
J Clin Gastroenterol. 1993 Apr; 16(3):189-91.JC

Abstract

Gastrocolic fistulas are not common. We review the 10-year experience in our center of 15 cases that emphasize the changing pattern of this disease. The female-to-male ratio was 2:1, with a mean age of 55. Even though we are affiliated with the regional cancer center, the commonest cause of a fistula was benign gastric ulceration. Sixty percent of those with peptic ulcer and a fistula had not had previous gastric surgery. Barium enema was the most accurate investigation, showing the fistula in 10 of 10. Barium meal showed it in seven of eight, and the fistula was seen in seven of 10 patients who had endoscopy. Eleven patients were operated on, and only one was treated "medically." Three deaths occurred, two from advanced carcinoma and one from myocardial infarction.

Authors+Show Affiliations

Division of Gastroenterology, University of Western Ontario, London, Canada.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

8505487

Citation

Tavenor, T, et al. "Gastrocolic Fistula. a Review of 15 Cases and an Update of the Literature." Journal of Clinical Gastroenterology, vol. 16, no. 3, 1993, pp. 189-91.
Tavenor T, Smith S, Sullivan S. Gastrocolic fistula. A review of 15 cases and an update of the literature. J Clin Gastroenterol. 1993;16(3):189-91.
Tavenor, T., Smith, S., & Sullivan, S. (1993). Gastrocolic fistula. A review of 15 cases and an update of the literature. Journal of Clinical Gastroenterology, 16(3), 189-91.
Tavenor T, Smith S, Sullivan S. Gastrocolic Fistula. a Review of 15 Cases and an Update of the Literature. J Clin Gastroenterol. 1993;16(3):189-91. PubMed PMID: 8505487.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gastrocolic fistula. A review of 15 cases and an update of the literature. AU - Tavenor,T, AU - Smith,S, AU - Sullivan,S, PY - 1993/4/1/pubmed PY - 1993/4/1/medline PY - 1993/4/1/entrez SP - 189 EP - 91 JF - Journal of clinical gastroenterology JO - J Clin Gastroenterol VL - 16 IS - 3 N2 - Gastrocolic fistulas are not common. We review the 10-year experience in our center of 15 cases that emphasize the changing pattern of this disease. The female-to-male ratio was 2:1, with a mean age of 55. Even though we are affiliated with the regional cancer center, the commonest cause of a fistula was benign gastric ulceration. Sixty percent of those with peptic ulcer and a fistula had not had previous gastric surgery. Barium enema was the most accurate investigation, showing the fistula in 10 of 10. Barium meal showed it in seven of eight, and the fistula was seen in seven of 10 patients who had endoscopy. Eleven patients were operated on, and only one was treated "medically." Three deaths occurred, two from advanced carcinoma and one from myocardial infarction. SN - 0192-0790 UR - https://www.unboundmedicine.com/medline/citation/8505487/Gastrocolic_fistula__A_review_of_15_cases_and_an_update_of_the_literature_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=8505487.ui DB - PRIME DP - Unbound Medicine ER -