第46回："Making the Connection"

「時間的に離れた事象を因果関係でつなげる」という意味と意図せずに「胃と腸がつながらさった」ということを掛けたタイトルでしょうか？　ひょっとして、複数の症状の組み合わせ(combination)で診断に至るということも含意しているのでしょうか？

Word Count：2988語 (Time:  15'57'', 187 wpm)

参加人数：5名

引用箇所：

• The combination of feculent eructation and vomiting, diarrhea, and malnutrition is the classic symptom complex.
• The current case underscores the importance of considering late complications of bariatric surgery as causes of new symptoms in patients who have had this surgery. Although gastrocolic fistula is an uncommon complication of Roux-en-Y gastric bypass, the combination of malabsorptive diarrhea, fecal eructation, and previous marginal ulceration provided important clues that pointed to this complication.