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Canadian Journal of Gastroenterology
Volume 17, Issue 7, Pages 441-443
http://dx.doi.org/10.1155/2003/239681
Brief Communication

Gastrocolic Fistulae as a Consequence of Benign Gastric Ulcer Disease

Jeff Marschall, Richard Bigsby, and Patrik Nechala

Division of General Surgery, Royal University Hospital and St. Paul’s Hospital, University of Saskatchewan, Saskatoon, Saskatchewan, Canada

Received 16 December 2002; Revised 14 March 2003

Copyright © 2003 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Gastrocolic fistulae are a rare entity, occurring most commonly in the context of a malignant process or less frequently as a complication of a benign gastric ulcer. Presenting symptoms tend to be nonspecific, but the diagnosis can be confirmed with near certainty by barium enema examination or an upper gastrointestinal series. Although the management of gastrocolic fistulae has historically been surgical, medical management has recently been recommended as the first line of treatment when an underlying malignancy can be excluded.