CPT® Code 43880

Closure of gastrocolic fistula is a surgical procedure aimed at addressing a specific type of abnormal connection between the stomach and the colon, known as a gastrocolic fistula. These fistulas often arise as a complication of malignant ulceration, which is typically associated with cancers of the stomach or colon. However, they can also develop from benign ulcers in the stomach. During the procedure, the surgeon makes an incision in the abdomen to access the affected area. The fistula, which is the abnormal passageway connecting the stomach and colon, is carefully identified. The surgical team then proceeds to sever the fistulous tract at its junction with the colon, followed by the closure of the opening in the colon itself. Subsequently, the tract is also cut at the stomach's opening, and this opening is closed as well. To facilitate recovery and prevent complications, drains may be placed in the abdominal cavity as necessary, and the abdominal incision is ultimately closed. This procedure is critical for restoring normal gastrointestinal function and preventing further complications associated with the fistula.