Phifer T J, Gladney J D, McDonald J C
South Med J. 1986 Aug;79(8):1015-7. doi: 10.1097/00007611-198608000-00025.
Spontaneous gastrojejunal fistula formation is rare and its differential diagnosis multifactorial. Precise etiologic determination is necessary for proper management. We have reported a case typical of gastrojejunal fistula due to peptic ulcer disease. In contrast to the gastrocolic fistula, symptoms of the gastrojejunal fistula are those of the ulcer diathesis itself. The preferred management is by en bloc one-stage resection after preoperative colon preparation.
自发性胃空肠瘘形成罕见,其鉴别诊断涉及多种因素。准确确定病因对于恰当的治疗至关重要。我们报告了一例因消化性溃疡疾病导致胃空肠瘘的典型病例。与胃结肠瘘不同,胃空肠瘘的症状是溃疡素质本身的症状。首选的治疗方法是在术前进行结肠准备后行整块一期切除。