MEDICAL-TREATMENT OF BENIGN GASTROCOLIC FISTULA

Benign gastrocolic fistula has been reported in patients taking anti-inflammatory drugs and has been traditionally managed with surgery. We describe two patients taking nonsteroidal anti-inflammatory medications who were found to have a benign gastrocolic fistual. Because of the relatively mild symptoms, a trial of medical therapy was initiated with documented successful closure of the fistula. These findings show that some patients with benign gastrocolic fistula can be managed medically.