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June 1949, Vol 58, No. 6 >
ARTICLE | June 1949

GASTROJEJUNOCOLIC FISTULA

STANLEY E. LAWTON, M.D.; ARTHUR R. MARKS, M.D.
Arch Surg. 1949;58(6):762-771. doi:10.1001/archsurg.1949.01240030773004.
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GASTROJEJUNOCOLIC fistula following gastroenterostomy for gastric or duodenal ulcer is seldom observed by the individual surgeon and appears relatively infrequently in the large clinics. To date slightly over 300 cases have been reported. The complication of a fistulous tract between stomach, jejunum and colon resulting from operation for peptic ulcer is a serious one. It exerts a marked effect on the nutritional state of the patient, its treatment requires major surgical procedures and the mortality incident to its occurrence is high. During the past twenty years, 22 patients with gastrojejunocolic fistula were admitted to the Veterans Administration Hospital, Hines, Ill. The purpose of this paper is to report a study of their cases, to add to the literature 2 cases with complications not known to have been previously described and to present 2 cases in which a new surgical procedure has been successfully employed.

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