Abstracts
Copyright ©The Author(s) 1998. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Oct 15, 1998; 4(Suppl2): 100-100
Published online Oct 15, 1998. doi: 10.3748/wjg.v4.iSuppl2.100
Diagnosis and treatment of gastrojejunocolic fistula and nutrition support action
Zhu-Ming Jiang, Si-Yuan Zhang, Yu-Guo Li, Xiu-Rong Wang, Ru-Mei Jia, Yi-Kang Jiang, Shu-Ming Hao, Yu-Shu Liu
Zhu-Ming Jiang, Si-Yuan Zhang, Xiu-Rong Wang, Department of GI Surgery of Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
Yu-Guo Li, Department of Surgery of Second Affiliated Hospital, Dalian Medical College, Dalian 116023, Liaoning Province, China
Ru-Mei Jia, Yi-Kang Jiang, Shu-Ming Hao, Yu-Shu Liu, Department of Surgery of Second Affliated Hospital, Hebei Medical College, Shijiazhuang 050035, Hebei Province, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr. Zhu-Ming Jiang, Department of GI Surgery of Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
Received: June 25, 1998
Revised: August 4, 1998
Accepted: August 26, 1998
Published online: October 15, 1998
Abstract

AIM: To explain the dignostic standard and therapeutic methods and lay emphasis on the impartance to the treatment of nutrition support during the period of before and after operation through analysis of treatment of seven patients with gastrojejunocolic fistula (GJCF) and in combination of medical references concered.

METHODS: Seven patients, all male averaging 32 years in age (21-45), their primary illness was doudenal bulbar ulcer; suture of perforation and large gastrectomy had been operated. GJCF had been found from 4 mo to 12 years after operation (averaging 52 mo), the chief symptom is abdominal pain, diarrhea, vomiting fecaloid substance and loss of body weight. GJCF had been dignosed by barium enema examination.

RESULTS: Five patients were cured by primary excision of GJCF th rough TPN support before operation (including TPN and TEN after operation). Two patients died, one died of burst hemorrhage of upper digestive tract, the other died of fistula without TPN.

CONCLUSION: The common reason for GJCF is duodenal bubar ulcer and stoma ulcer perforated colon after large gastrectomy. it mainly related to high acid. A diagnosis is based on personal illness and ex-operation history. Barium enema examination is the main method to diagnose. The key to successful operation is to improve the patients nutrition condition before and after operation during the period of treatment.

Keywords: Gastrojejunocolic fistula/diagnosis; Gastrjejunocolic fistula/therapy; Gastrojejunocolic fistula/surgery; Nutritional support