A gastrocolic fistula as a complication of peptic ulcer

Aim. Improving the diagnosis and treatment of multiple complications of peptic ulcer. Materials and Methods. Retrospective analysis of clinical signs, results of laboratory, instrumental examinations and surgical treatment of multiple peptic ulcer complications in a 54-year-old patient H., who wa...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	R.O. Chukla, M.M. Posivnych, O.V. Lukavetsky
Formato:	article
Lenguaje:	EN UK
Publicado:	Danylo Halytsky Lviv National Medical University 2018
Materias:	gastric outlet obstruction, penetration, gastro-colic fistula, surgical treatment Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/2656ee0b0fad41adb073d970f4b12359
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:2656ee0b0fad41adb073d970f4b12359
record_format	dspace
spelling	oai:doaj.org-article:2656ee0b0fad41adb073d970f4b123592021-11-10T19:50:04ZA gastrocolic fistula as a complication of peptic ulcer1029-42442415-330310.25040/aml2018.01.081https://doaj.org/article/2656ee0b0fad41adb073d970f4b123592018-02-01T00:00:00Zhttps://amljournal.com/index.php/journal/article/view/131https://doaj.org/toc/1029-4244https://doaj.org/toc/2415-3303Aim. Improving the diagnosis and treatment of multiple complications of peptic ulcer. Materials and Methods. Retrospective analysis of clinical signs, results of laboratory, instrumental examinations and surgical treatment of multiple peptic ulcer complications in a 54-year-old patient H., who was treated at the Department of Surgery №2 of Lviv Regional Clinical Hospital. Results and Discussion. In a 54-year-old patient with 20 years history of peptic ulcer, a combined complication developed: decompensated pyloric stenosis, penetration of gastric ulcers to the transverse colon with formation of a gastro-colic fistula, which was confirmed only at contrast CT of abdominal cavity. These complications led to severe disturbance of fluid-electrolyte and acid-base balance. After the correction of fluid-electrolyte and acid-base balance, a one-stage operation was performed - the Billroth II resection of the stomach with gastro-enterostomy on a short loop, and transverse colon resection with end-to-end anastomosis. Conclusions. Verification of diagnosis in patients with peptic ulcers with multiple complications needs advanced diagnostic procedures. Combination of gastric outlet obstruction and penetration of peptic ulcer to the transverse colon with fistula formation lead to significant disturbances of water-electrolyte and acid-base balance. Simultaneous operation (Billroth II gastric resection and resection of the transverse colon with end-to-end anastomosis) is possible after thorough correction of fluid-electrolyte and acid-base balance.R.O. ChuklaM.M. PosivnychO.V. LukavetskyDanylo Halytsky Lviv National Medical Universityarticlegastric outlet obstruction, penetration, gastro-colic fistula, surgical treatmentMedicine (General)R5-920ENUKActa Medica Leopoliensia, Vol 24, Iss 1, Pp 81-83 (2018)
institution	DOAJ
collection	DOAJ
language	EN UK
topic	gastric outlet obstruction, penetration, gastro-colic fistula, surgical treatment Medicine (General) R5-920
spellingShingle	gastric outlet obstruction, penetration, gastro-colic fistula, surgical treatment Medicine (General) R5-920 R.O. Chukla M.M. Posivnych O.V. Lukavetsky A gastrocolic fistula as a complication of peptic ulcer
description	Aim. Improving the diagnosis and treatment of multiple complications of peptic ulcer. Materials and Methods. Retrospective analysis of clinical signs, results of laboratory, instrumental examinations and surgical treatment of multiple peptic ulcer complications in a 54-year-old patient H., who was treated at the Department of Surgery №2 of Lviv Regional Clinical Hospital. Results and Discussion. In a 54-year-old patient with 20 years history of peptic ulcer, a combined complication developed: decompensated pyloric stenosis, penetration of gastric ulcers to the transverse colon with formation of a gastro-colic fistula, which was confirmed only at contrast CT of abdominal cavity. These complications led to severe disturbance of fluid-electrolyte and acid-base balance. After the correction of fluid-electrolyte and acid-base balance, a one-stage operation was performed - the Billroth II resection of the stomach with gastro-enterostomy on a short loop, and transverse colon resection with end-to-end anastomosis. Conclusions. Verification of diagnosis in patients with peptic ulcers with multiple complications needs advanced diagnostic procedures. Combination of gastric outlet obstruction and penetration of peptic ulcer to the transverse colon with fistula formation lead to significant disturbances of water-electrolyte and acid-base balance. Simultaneous operation (Billroth II gastric resection and resection of the transverse colon with end-to-end anastomosis) is possible after thorough correction of fluid-electrolyte and acid-base balance.
format	article
author	R.O. Chukla M.M. Posivnych O.V. Lukavetsky
author_facet	R.O. Chukla M.M. Posivnych O.V. Lukavetsky
author_sort	R.O. Chukla
title	A gastrocolic fistula as a complication of peptic ulcer
title_short	A gastrocolic fistula as a complication of peptic ulcer
title_full	A gastrocolic fistula as a complication of peptic ulcer
title_fullStr	A gastrocolic fistula as a complication of peptic ulcer
title_full_unstemmed	A gastrocolic fistula as a complication of peptic ulcer
title_sort	gastrocolic fistula as a complication of peptic ulcer
publisher	Danylo Halytsky Lviv National Medical University
publishDate	2018
url	https://doaj.org/article/2656ee0b0fad41adb073d970f4b12359
work_keys_str_mv	AT rochukla agastrocolicfistulaasacomplicationofpepticulcer AT mmposivnych agastrocolicfistulaasacomplicationofpepticulcer AT ovlukavetsky agastrocolicfistulaasacomplicationofpepticulcer AT rochukla gastrocolicfistulaasacomplicationofpepticulcer AT mmposivnych gastrocolicfistulaasacomplicationofpepticulcer AT ovlukavetsky gastrocolicfistulaasacomplicationofpepticulcer
_version_	1718439653425545216

A gastrocolic fistula as a complication of peptic ulcer

Ejemplares similares