대장암에 의한 위결장루 1예
A Case of Gastrocolic Fistula by Primary Colon Cancer
윤호영, 김병천, 손태경, 조지웅, 정봉화, 정경석, 이명석, 안혜경, 유종우,
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윤호영 ( Yoon Ho-Young )
한림대학교 의과대학 외과학교실
김병천 ( Kim Byung-Chun )
한림대학교 의과대학 외과학교실
손태경 ( Son Tae-Kyung )
한림대학교 의과대학 외과학교실
조지웅 ( Cho Ji-Woong )
한림대학교 의과대학 외과학교실
정봉화 ( Chung Bong-Hwa )
한림대학교 의과대학 외과학교실
정경석 ( Chung Kyung-Suk )
한림대학교 의과대학 외과학교실
이명석 ( Lee Myung-Suk )
한림대학교 의과대학 내과학교실
안혜경 ( Ahn Hye-Kyung )
한림대학교 의과대학 병리학교실
유종우 ( Yoo Jong-Woo )
한림대학교 의과대학 병리학교실
KMID : 0356720040200060415
Abstract
A gastrocolic fistula is a fistulous communication between a segment of colon and the stomach. It is a rare complication and is caused most commonly by a carcinoma of the colon or the stomach. Among the less common causes of a gastrocolic fistula are a benign gastric ulcer, chronic ulcerative colitis, Crohn’s disease, a carcinoid tumor, syphillis, an intraabdominal abscess, a lymphoma, trauma, intestinal tuberculosis, and iatrogenic factors. Recently, the incidence of gastrocolic fistulas has decreased due to earlier diagnosis and treatment of stomach and colon cancer. The classic triad of symptoms are lienteric diarrhea, feculent vomiting, and foul eructations, but all patients do not necessarily present with these symptoms. A gastrocolic fistula is usually diagnosed by using a barium enema, but occasionally can be detected by using an upper gastrointestinal series or endoscopy. Here, we report experience with a fistula between a cancerous transverse colon and the stomach and give a review of the literature. J Korean Soc Coloproctol 2004;20:415-419
키워드
위결장루;대장암;누공
Gastrocolic fistula;Colon neoplasm;Fistula
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