[Gastrocolic fistulae of neoplastic origin].

Three cases of gastrocolic fistula secondary to cancer of stomach or transverse colon are presented. The incidence of this complication is very rare, and in the last years (20-30 years ago) the anastomotic peptic ulcer due to gastrojejunostomy has been the most common cause. Recent reports indicate that gastric or transverse colonic carcinoma are the most frequent causes. The predominant symptoms are epigastric pain, loss of weight, diarrhea, and feculent vomiting. The diagnosis is based on clinical, radiological and endoscopic findings. The treatment is based on nutritional support with parenteral and or enteral hyper alimentation and resective surgery, if possible.