ArticleInternal medicine (Tokyo, Japan)2026
Gastrojejunocolic Fistula Following Subtotal Stomach-preserving Pancreaticoduodenectomy with Undernutrition, Efficiently Managed via Indirect Calorimetry.
Article in Internal medicine (Tokyo, Japan), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Gastrojejunocolic fistula is a rare but serious complication of pancreaticoduodenectomy that can lead to malabsorption and severe undernutrition. A 59-year-old man presented with leg edema and significant weight loss 8 years after undergoing subtotal stomach-preserving pancreaticoduodenectomy. After preoperative nutritional improvement (guided by indirect calorimetry), the patient underwent fistula resection and Roux-en-Y reconstruction. The patient was discharged on postoperative day 37, and his nutritional parameters remained adequate at the one-year follow-up. This case demonstrates the validity of indirect calorimetry in optimizing nutrition, preventing refeeding syndrome, and managing perioperative care in patients with gastrojejunocolic fistulas after pancreaticoduodenectomy.
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