胃空肠吻合术后并发胃结肠瘘1例

A case of gastrocolic fistula complicated by gastrojejunostomy

胃结肠瘘临床罕见,典型的临床表现包括腹泻、呕吐粪便气味物、消瘦、贫血、低蛋白血症等。其病因可能与残留胃腔组织过多,胃酸分泌过多并长期吻合口溃疡腐蚀并发胃空肠吻合口-结肠瘘有关。胃结肠瘘的诊断和处理有较大的挑战性,本文报道1例胃淋巴瘤患者行胃空肠吻合+Braun吻合术后15年并发胃结肠瘘,旨在总结探讨此类疾病的临床诊治经验。

Gastrocolic fistulas are rare clinically,with typical clinical manifestations including diarrhoea,vomiting of faecal odour,wasting,anaemia and hypoproteinaemia.The etiology may be related to excessive residual gastric lumen tissue,excessive gastric acid secretion and prolonged anastomotic ulcer erosion complicated by gastrojejunostomy-colon fistula.The diagnosis and treatment of gastrocolic fistula can be challenging.This article reports a case of gastrocolic fistula 15 years after gastrojejunostomy+Braun anastomosis in a patient with gastric lymphoma,with the aim of summarizing the clinical experience in the diagnosis and treatment of this disease.