[Gastro-jejuno-coliques fistula caused by recurrent]

ABSTRACT

Gastro-jejuno-colic fistula caused by recurrent ulcer was a frequent complication of surgery for peptic ulcer. Since the completion of the vagotomy in the surgical treatment of this pathology, gastr-jejuno-colic fistula is becoming increasingly rare but continues to see. We try to study different profiles clinic, diagnostic, and therapeutic of this complication. Six cases of gastro-jejuno-colic fistula caused by recurrent ulcer were studied retrospectively between 1969 and 2009. All the patients were operated for duodenal ulcer; the first intervention consisted of gastro-entro-anastomosis alone in three cases. Clinical presentation was dominated by diarrhea, abdomen pain and weight loss. Fistula was demonstrated on barium enema in three patients. All our patients had a one stage resection and repair of the fistula by gastro-jejunal anastomosis in three cases; segmental resection of the colon was done in two cases; postoperative recovery was simple. In spite of varied clinical presentation, gastro-jejunal-colic fistula caused by recurrent ulcer can be readily diagnosed by barium enema. A one stage resection is the procedure of choice