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.
The instant of transition to and from daylight saving time is synchronized across Europe. In Ireland, Winter time begins at 02:00 IST on the last Sunday in October (changing to 01:00 GMT), and ends at 01:00 GMT on the last Sunday in March (changing to 02:00 IST).