eISSN: 1897-4317
ISSN: 1895-5770
Gastroenterology Review/Przegląd Gastroenterologiczny
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1/2008
vol. 3
 
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Case report
Oesophago-colonic fistula in ulcerative colitis in a patient who previously underwent gastrectomy due to Ménétrier’s disease. A case report and review of the literature

Rafał Filip
,
Piotr Paluszkiewicz

Przegląd Gastroenterologiczny 2008; 3 (1): 48–51
Online publish date: 2008/03/04
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Ménétrier’s disease (MD) is a hypertrophic gastropathy with histological features such as foveolar hyperplasia of the gastric mucosa accompanied by mucus hypersecretion and glandular hypertrophy. In adults, the course of the disease in adults is complex and may lead to the necessity of gastrectomy. The aetiology of ulcerative colitis (UC) remains unknown and is probably multi-factorial. Apart from abdominal pain, diarrhoea and anaemia, progression of the disease can involve toxic megacolon, perforations, strictures and even intestinal tumours; therefore, after several years may lead to total colectomy. The combination of MD and UC is very rare. We report an unusual case of MD and UC coexistence. Surgical treatment was applied and the patient underwent total gastrectomy due to MD, and after several years proctocolectomy due to severe UC complicated by descending colon strictures and oesophago-colonic fistula.
keywords:

Ménétrier’s disease, ulcerative colitis, oesophago-colonic fistula
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