Gastric Fistula: Causes & Reasons

Possible Causes for Gastric Fistula

gastric pouch via the fistula and break down the mucosal integrity. [bariatrictimes.com]

[…] of a gastric fistula and normal passage. [bmcsurg.biomedcentral.com]

Further investigation was carried out by means of an upper GI series that revealed a sharpened contrast passage through the anastomosis; there was no gastro-gastric fistula [aischannel.com]

Gastroduodenal Fistula

KW - Endoscopy KW - Gastric fistula KW - Intestinal fistula KW - Magnets KW - Neodymium UR - http://www.scopus.com/inward/record.url? [jhu.pure.elsevier.com]

Duodenitis Duodenum Pathologic Fistula Gastric Fistula Intestines Jejunum Peptic Ulcer Retrospective Studies References 7 Citations 16 References 7 Citations 16 [meta.org]

The fistula develops from a penetrating gastric ulcer. [ncbi.nlm.nih.gov]

Gastrocolic Fistula

fistula with gastric outlet obstruction as a complication of benign gastric ulcer. [mayoclinic.pure.elsevier.com]

The present series brings to 43 the total number of cases of gastrocolic fistulas complicating benign, previously unoperated gastric or duodenal ulcers. [scholars.duke.edu]

Gastrocolic fistula originating from gastric cancer is a rare complication. [ncbi.nlm.nih.gov]

Stomach Abscess

An gastroscopy revealed a small fistula-like lesion with purulent coating at the bulging posterior gastric wall. The abscess resolved spontaneously. [ncbi.nlm.nih.gov]

He underwent gastrointestinal endoscopy, which revealed a submucosal tumor near the gastric angle without an ulcer or fistula. [karger.com]

A gastroscopy shows a bulging external mass effect with purulent coating and mucosal friability around a fistula-like lesion (arrow) at the posterior wall of the gastric body [kjim.org]

Gastric Ulcer

Abstract Spontaneous gastrojejunal fistula formation is an extremely rare complication of gastric ulcer disease. [ncbi.nlm.nih.gov]

A gastropericardial fistula, defined as penetration of a gastric lesion into the pericardium, is a rare occurrence. [ncbi.nlm.nih.gov]

A contrast-enhanced computed tomography scan demonstrated the pneumopericardium and raised concern for possible gastropericardial fistula from a benign gastric ulcer. [ncbi.nlm.nih.gov]

Pancreatic Abscess

The spontaneous gastric fistula was heralded by a large emesis of purulent and necrotic material in one case and copious nasogastric tube secretions of a similar material [ncbi.nlm.nih.gov]

This conservative management resulted in healing of the ulcer and early closure of the enteric fistula. [mdedge.com]

Medical management with a proton pump inhibitor in high doses helped ulcer healing by reducing acid and gastric secretions. [mdedge.com]

Gastric Rupture

fistula formation, and wound infection. 1,2,4 The mortality rate associated with gastric rupture is 1,4 The high morbidity and mortality associated with this injury are related [appliedradiology.com]

[…] contamination that ensues after rupture of a distended stomach and usually account for the late mortality. 1,2 The most common complications are intra-abdominal abscess, gastric [appliedradiology.com]

Pancreatic Adenocarcinoma

Postoperative pancreatic fistulae, delayed gastric emptying and post-pancreatectomy hemorrhage rates were 9%, 20% and 15%, respectively. [ncbi.nlm.nih.gov]

Even after a successful pancreaticoduodenectomy, complications are frequently reported, including wound infection, delayed gastric emptying, fistulas, cardiac pathologies, [symptoma.com]

Complications related to resective surgery include delayed gastric emptying, pancreatic duct fistula development, malnutrition, infection and thromboembolism – the last three [cancertherapyadvisor.com]

Foreign Body in the Digestive Tract

Tracheo-oesophageal fistula (especially swallowed button batteries in children). Aorto-oesophageal fistulae or other mediastinal vascular injury. [patient.info]

Gastric/small-intestine foreign bodies Entrapment of an object within a Meckel's diverticulum. Perforation leading to peritonitis and advanced sepsis. [patient.info]

Penetrating Abdominal Trauma

[…] and faecal fistulae in one case each and chest infection in two cases. [jpgmonline.com]

[…] in our patients are shown in [Table - 3] The complications encountered were minor wound infection in seven cases, burst abdomen in one, post-operative obstruction in one, gastric [jpgmonline.com]

Subtotal Gastrectomy

[…] death is caused by the recurrence of gastric cancer, rather than caused by other diseases), and 5-year survival rate. [dovepress.com]

Furthermore, SG was associated with significantly fewer anastomotic fistula and lower mortality rate of recurrence compared with TG. [dovepress.com]

To our knowledge, there is no meta-analysis of the evidence gathered from the outcomes of TG and SG surgery for distal gastric cancer. [dovepress.com]

Intestinal Tuberculosis

 Gastric outlet obstruction 28. [slideshare.net]

TB: rare, usual involvement is of obstructive type (Extrinsic > luminal)  Anal : perianal ulcerative lesions, fistula in ano, perianal abscess 16. [slideshare.net]

 Esophageal tuberculosis: Very rare, usually occurs due to direct extension from adjacent structures  Gastric tuberculosis: Rare, 80% patients have Ulcerative form  Duodenal [slideshare.net]

Perforated Peptic Ulcer

This conservative management resulted in healing of the ulcer and early closure of the enteric fistula. [mdedge.com]

Study on the use of T-tube for patients with persistent duodenal fistula: is it useful? World J Surg. 2013; 37 (11):2542–5. [ PubMed ] 68. [ncbi.nlm.nih.gov]

Medical management with a proton pump inhibitor in high doses helped ulcer healing by reducing acid and gastric secretions. [mdedge.com]

Inflammatory Bowel Disease

What Is Inflammatory Bowel Disease? Inflammatory bowel disease (IBD) refers to two different chronic conditions or diseases that may be related, Crohn's disease and ulcerative colitis. Both diseases consist of inflammation of the wall of the bowel or intestines - hence the name - leading to bowel that is inflamed,[…] [onhealth.com]

Leiomyosarcoma

Leiomyosarcomas, neoplasms of smooth muscle, are rarely found within the orbit. Orbital leiomyosarcoma may be primary, metastatic, or secondary to radiation. When they are metastatic, patients almost exclusively have a history of a primary leiomyosarcoma, often occurring in the spermatic cord, skin, gastrointestinal[…] [ncbi.nlm.nih.gov]

Duodenal Crohn Disease

BACKGROUND: Duodenal Crohn's disease (DCD) has been reported to occur in 0.5% to 4% of patients with Crohn's disease. When patients fail to respond to conservative therapy or severe narrowing of the duodenum develops, operation is required. The recent literature is limited in description of surgical treatment of[…] [ncbi.nlm.nih.gov]

Abdominal Visceral Abscess

Abstract This review describes the microbiology, diagnosis, and management of intra-abdominal abscesses (including subphrenic, hepatic, splenic, and retroperitoneal abscesses) in children. They often occur as a complication of local or generalized peritonitis, commonly secondary to appendicitis, necrotizing enterocolitis,[…] [ncbi.nlm.nih.gov]

Gastric Adenocarcinoma

A 78-year-old man underwent endoscopic submucosal dissection (ESD) for early gastric adenocarcinoma twice in 2009 and 2014. Between the procedures, he successfully completed Helicobacter pylori eradication therapy. In May 2015, upper endoscopy screening showed two elevated lesions on the gastric fundus, and en[…] [ncbi.nlm.nih.gov]

Gastric Leiomyosarcoma

Gastrointestinal stromal tumours are the most common mesenchymal malignancies of the gastrointestinal (GI) tract and gastric leiomyosarcoma represent 1-3% of gastric malignancies. We report a case of a 69-year-old black African man who presented with a rare cause of gastric outlet obstruction and duodenal[…] [ncbi.nlm.nih.gov]

Gastric Fistula

[…] iatrogenic bariatric gastric fistula with an over-the-scope clip", keywords = "Gastric fistula, Over the scop clip, Sleeve gastrectomy", author = "Victoria G{\'o}mez and [mayoclinic.pure.elsevier.com]

Pulmonary to gastric fistulae are rare. [journals.lww.com]

A broncho-gastric fistula is a very rare complication of transthoracic esophagectomy and has been reported anecdotally in the literature. [ncbi.nlm.nih.gov]

Duodenal Fistula

Internal gastric fistula after gastric stapling is well known, with subsequent weight gain after a fistula is formed between the proximal gastric pouch and the distal stomach [sites.google.com]

In this case, the fistula was unusually located between the lesser curvature of the gastric lower body and duodenal bulb; however, most fistulas are found between the antrum [ghrnet.org]

2012 ICD-9-CM Diagnosis Code 537.4 Fistula of stomach or duodenum Short description: Gastric/duodenal fistula. [icd9data.com]

Tuberculous Peritonitis

Tuberculous peritonitis and tuberculous endometritis are extremely rare entities in the Western world. In this article, we discuss a rare case of a 40-year-old Nigerian female presenting with abdominal pain, distension and secondary amenorrhea, and show that a high clinical suspicion combined with minimally invasive[…] [ncbi.nlm.nih.gov]

Jejunocolic Fistula

Benign gastro-colic fistulae are becoming exceedingly rare in the context of modern medical management of gastric ulcer disease. [gooa.las.ac.cn]

[…] after roux-en-y gastric bypass jejunocolic fistula after a new approach for treatment of gastro-gastric fistula repair of DANN Bezoar Radiology 31:225-229 (Aug.) 1938. [transnationalterrorism.eu]

Pancreato gastric fistula  Proximal migration of stent into gastric antrum during Pancreatic duct stenting.  Diagnosis Fluoroscopic contrast examination. [slideshare.net]

Abdominal Actinomycosis

Actinomyces naeslundii was proved as a primary pathogen in the case of a fulminant abdominal infection of a 74 aged woman. The preliminary diagnosis of actinomycosis based on direct microscopical findings of microgranules in the pus was confirmed by the results of cultivation and casuistry in addition. The case was[…] [ncbi.nlm.nih.gov]

Umbilical Fistula

The most common type of gastric fistula is the gastro-colic fistula that occurs due to a complication of a malignancy arising in the stomach or colon, or sometimes occurs [semanticscholar.org]

The most common type of gastric fistula is a gastro-colic fistula that is mainly found as a complication of a gastric carcinoma or of a carcinoma of the transverse colon invading [synapse.koreamed.org]

Gastric fistula, a connection between the surface of the patient’s skin and the stomach. [docdoc.com]

Enteroenteric Fistula

Pancreato gastric fistula  Proximal migration of stent into gastric antrum during Pancreatic duct stenting.  Diagnosis Fluoroscopic contrast examination. [slideshare.net]

Gastric fistula : from the stomach to the skin surface (K38.3) Fistula of appendix ( K60 ) Anal and rectal fissures and fistulas ( K60.3 ) Anal fistula ( K60.5 ) Anorectal [en.wikipedia.org]

The use of histamine-receptor antagonists (eg, famotidine) can decrease proximal and gastric fistula secretions. [emedicine.medscape.com]

Esophagobronchial Fistula

Postesophagectomy airway–gastric fistula successfully treated with subcutaneous fascia flap, tracheal reconstruction, and gastric fistula drainage: A case report and literature [cancerjournal.net]

Broncho-gastric fistula complicating transthoracic esophagectomy, Dis Esophagus, 14(3-4), 271-3, 2001. [pubs.sciepub.com]

Thoracic esophagectomy, closure of the esophagobronchial fistula using a 2-cm nubbin of esophageal wall, surrounding the orifice of the fistula and antesternal gastric pull-through [ncbi.nlm.nih.gov]

Isolated Tracheo-Esophageal Fistula

Aspiration of gastric contents via a distal fistula causes more damaging pneumonitis than aspiration of pharyngeal secretions from the blind upper pouch. [easypediatrics.com]

In regards to airway management in TEF, one of the foremost concerns is the avoidance of ventilation through the fistula with resultant gastric distention and inadequate pulmonary [openanesthesia.org]

Bag mask ventilation should not be performed as it may cause gastric distension with distal esophageal fistula types. [pedclerk.uchicago.edu]

Internal Biliary Fistula

External fistula In an external fistula, gastric fluid leaks through the skin. It’s also known as a “cutaneous fistula.” 4. [healthline.com]

Spontaneous internal gastrocolic fistulae occur as a late consequence of benign or malignant gastric ulcers ( 67 ). [ptolemy.ca]

fistula: a new variant of "Bouveret's syndrome". [graphyonline.com]

Bladder Fistula

(gastric fistula). [britannica.com]

[…] bladder; called also vesicoenteric f. fecal fistula one between the colon and the external surface of the body, discharging feces. gastric fistula 1. one communicating between [medical-dictionary.thefreedictionary.com]

between the intestines and the vagina (enterovaginal fistula), between the urinary tract and the vagina (vesicovaginal fistula), and between the stomach and the skin surface [britannica.com]