A patient with a malignant colojejunal fistula with associated severe weight loss and diarrhea is described. To the authors' knowledge, this paper represents the second reported case of this type of malignant fistula. A discussion of the pathogenesis and treatment of this rather unique fistula and a review of malignant coloenteric fistulas in general are presented. [Key words: Colonic cancer; Colojejunal fistula; Enteric fistula] MALIGNANT COLOENTERIC FISTULIZATION is an un- common disease entity. 1-z Locally invading colonic
Eastern Standard Time - is abbreviated as EST. Eastern Daylight Time- is abbreviated as EDT. Limerick, Pennsylvania is GMT/UTC - 5h during Standard Time. Limerick, Pennsylvania is GMT/UTC - 4h during Daylight Saving Time.
TIME ZONE. Poland is in the Central European Time Zone which is 1 hour ahead of Greenwich Mean Time (GMT+1). This time zone is used in majority of European countries: Spain, France, Germany, Italy, Austria, the Czech Republic, Slovakia, Hungary, Norway, Sweden and a few other countries. Like most states in Europe, Poland uses Daylight Saving Time. Each year on the last Sunday of March clocks are advanced by one hour to make the most of seasonal daylight. On the last Sunday of October clocks are shifted back by 1 hour. Thus during summer we are 2 hours ahead of Greenwich Mean Time (GMT+2).