Korean J Gastrointest Endosc > Volume 33(6); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;33(6): 364-367.
양성 위궤양에 합병된 위위 누공 1예
최선택·은종렬·이정훈·박윤선·최재원·김국현·장병익·김태년·이헌주
영남대학교 의과대학 소화기내과학교실
A Case of Gastrogastric Fistula as a Complication of Benign Gastric Ulcer
Sun Taek Choi, M.D., Jong Ryul Eun, M.D., Jung Hoon Lee, M.D., Yoon Seon Park, M.D., Jae Won Choi, M.D., Kook Hyun Kim, M.D., Byung Ik Jang, M.D., Tae Nyun Kim, M.D. and Heon Ju Lee, M.D.
Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea
Abstract
Gastrogastric fistula is an extremely rare complication of benign gastric ulcer. We report a case of gastrogastric fistula in a 67-year-old male who presented with symptoms of dyspnea on exertion, pretibial pitting edema, and dyspepsia. He suffered from a peptic ulcer 9 years ago and from a gastric outlet obstruction 5 years ago. A gastrogastric fistula was observed by endoscopy, and the biopsy forceps were passed through the fistulous tract. The patient was treated with proton pump inhibitors, and H. pylori was eradicated. Gastrogastric fistula, unlike other types of gastric fistulas, can be cured using non-surgical therapy as long as complications such as peritonitis, gastric outlet obstruction, and bleeding do not occur. (Korean J Gastrointest Endosc 2006;33:364⁣367)
Key Words: Fistula, Gastrogastric fistula, Peptic ulcer
주요어: 누공, 위위 누공, 소화성 궤양
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