위공장문합술 후 발생한 위공장결장 누공 1예
A Case of Gastrojejunocolic Fistula as a Complication after Gastrojejunostomy
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
위결장 누공 및 위공장결장 누공은 다양한 여러 질환, 수술이나 내시경적 시술 등의 아주 드문 합병증이다. 40세 남자 환자에서 재발되는 소화성 궤양으로 위공장문합술 후 변연부 궤양과 함께 발생한 위공장결장 누공을 경험하였다. 환자는 만성 수양성 설사, 체중감소와 분변성 트림이 있었고 위내시경, 대장조영술, 상부위장관 조영술, 복부 전산화단층촬영으로 진단하였으며 위아전절제술과 누공을 포함한 일괄절제술을 하였다. 이후 설사는 호전되었고 서서히 체중이 증가하였으며, 전신 상태가 양호하여 외래에서 치료 중이다.
Abstract
Gastrocolic and gastrojejunocolic fistula are well-recongnized but rare complications of a variety of diseases, and surgical or endoscopic procedures. We had a case of gastrojejunocolic fistulae associated with marginal ulcer following gastrectomy with Billroth II gastrojejunostomy for recurrent peptic ulcer disease. He had chronic watery diarrhea, weight loss and fecal eructation and gastrojejunocolic fistula was dignosed by gastroscopy, barium enema, upper gastrointestinal series and abdominal CT scan. He underwent subtotal gastrectomy with Roux-en-Y gastrojejunal anastomosis and en-bloc resection including the fistula and surrounding colon, jejunum and gastric segments. Hereafter, he showed disappearance of diarrhea, along with slow rate of weight gain.
참고문헌 (18)
- "Gastrocolic fistula.A review of 15 cases and update of the literature", 16, pp.189~191 (1993)
- "A case of combined gastrojejunal and gastrocolic fistula secondary to gastric cancer", 11, pp.437~439 (1996)
- "Gastrocolic fistulas of malignant origin", 134, pp.829~832 (1972)
- "Gastrocolic fistula", 27, pp.258~259 (1998)
- "Late presentation of gastrocolic fistula after percutaneous gastrostomy", 34, pp.368~369 (1988)
- "Gastrocolic and Gastrojejunocolic fistulas caused by gastric ulcer", 9, pp.129~134 (1977)
- "Gastrocolic and gastrojejunocolic fistulae:report of twelve cases and review of the literature", 181, pp.376~380 (1975)
- "Gastrojejunocolic and gastrocolic fistulas", 145, pp.770~782 (1957)
- "Successful endoscopic closure of a benign gastrocolonic fistula using human fibrin sealant through gastroscopic approach:a case report and review of the literature", 15, pp.1351~1356 (2003)
- "A case of gastrocolie fistula secondary to benign gastric ulcer", 16, pp.615~619 (1996)
- "Gastrocolic and gastrojejunocolic fistulas.a report of sixteen cases", 107, pp.744~750 (1964)
- "Gastrocolic fistula as a complication of benign gastric ulcer:report of four cases and update of the literature", 76, pp.1298~1300 (1989)
- "A case of gastrocolic fistula secondary to colon cancer", 15, pp.755~763 (1995)
- "A case of gastrocolic fistula as a complication of colon cancer", 41, pp.406~409 (2003)
- "Operation in one stage for gastrojejunocolic fistula", 42, pp.1443~1449 (1962)
- "The roentgenologic diagnosis of gastrocolic and gastrojejunocolic fistulas", 83, pp.876~881 (1960)
- "Gastrocolic fistula due to adenocarcinoma of the colon:simulation of primary gastric leiomyosarcoma on CT", 23, pp.295~297 (1999)
- "Two cases of alimentary tract fistula treated by endoscopic local injection therapy", 26, pp.426~430 (2003)