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Korean J Gastrointest Endosc > Volume 40(2); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;40(2): 116-120.
막부착형 스텐트 삽입으로 치료한 악성 십이지장-대장루 1예
김정아ㆍ김창환ㆍ임창훈ㆍ이석주ㆍ고동훈ㆍ김태호ㆍ한석원ㆍ채현석
가톨릭대학교 의과대학 내과학교실
A Case of Malignant Duodenocolic Fistula Treated with Covered Metallic Stents
Jeong Ah Kim, M.D., Chang Whan Kim, M.D., Chang Hoon Lim, M.D., Seok Ju Lee, M.D., Dong Hoon Ko, M.D., Tae Ho Kim, M.D., Sok Won Han, M.D. and Hiun Suk Chae, M.D.
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Malignant duodenocolic fistula is a rare complication of colon cancer, and this usually develops as the right-side colon cancer that invades the duodenal bulb. The fistula often results in watery diarrhea, weight loss and feculent vomiting. A barium enema or duodenography have been the most useful diagnostic procedures, and the fistula is directly confirmed by an endoscopic examination. Curative resection is not possible in many cases due to metastasis or local invasion, so a palliative operation can be performed to relieve symptoms, but it cannot completely prevent the vomiting or diarrhea. Seven Korean cases of malignant duodenocolic fistula have been previously reported on, and an operation was performed in six cases. We report here on a case of duodenocolic fistula with intestinal obstruction that arouse from a right-side colon cancer, and this was successfully managed by placing covered metallic stents at the duodenum and hepatic flexure. (Korean J Gastrointest Endosc 2010;40:116-120)
Key Words: Malignant duodenocolic fistula, Colon cancer, Feculent vomiting, Stent
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