Jennifer Aoun¹*, Isha Delaleeuwe², Alice Hoyois¹, Eleonora Farinella³, Thomas Serste⁴, Pierre Eisendrath⁴

¹Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, Saint-Pierre University Hospital, Brussels, Belgium
²Department of Gastroenterology and Hepatology, Universitair Ziekenhuis Brussel, Jette, Belgium
³Department of Digestive Surgery, Saint-Pierre University Hospital, Brussels, Belgium
⁴Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, Saint-Pierre University Hospital, Université Libre de Bruxelles, Brussels, Belgium

*Corresponding Author: Jennifer Aoun, Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, Saint-Pierre University Hospital, Belgium.

Received: May 17, 2024; Published: June 05, 2024

Abstract

Gastrojejunocolic fistula is a late and rare complication of gastric surgery. The main clinical presentation includes chronic diarrhea, abdominal pain, fecaloid vomiting, and weight loss. We hereby present the case of a 55-year-old man with a history of Billroth II gastrectomy performed abroad 20 years ago for peptic ulcer disease, presenting with chronic diarrhea, alarming weight loss and severe hypoalbuminemia reaching 16 g/L. Following several unrevealing medical and radiological investigations, a diagnosis of a large gastrojejunocolic fistula at the level of the transverse colon was made during colonoscopy. The patient’s nutritional status was improved before definitive surgical repair of the fistula by single stage en-bloc resection and conversion to Roux-en-Y anastomosis. The procedure was successful with an uneventful postoperative course. The patient returned to his baseline weight with normalization of the albumin level at follow-up.

Keywords: Gastrojejunocolic; Gastrocolic; Fistula; Billroth II; Malnutrition

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Citation

Citation: Jennifer Aoun., et al. “Diagnosis and Management of Gastrojejunocolic Fistula After Billroth II Gastrectomy". Acta Scientific Gastrointestinal Disorders 7.7 (2024): 10-13.

Copyright

Copyright: © 2024 Jennifer Aoun., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.