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Esophagogastroduodenoscopy revealed a large ulcerated tumor in the lower stomach, judged by laparoscopy as unresectable (sT4bN1M0). After four cycles of first-line chemotherapy with S-1 plus oxaliplatin, the patient showed disease progression, and second-line therapy with ramucirumab and paclitaxel was started. At the end of the third cycle, the patient had gastric antral stenosis, which necessitated the placement of a gastroduodenal stent. When the patient complained of diarrhea 10 days later, esophagogastroduodenoscopy revealed a fistula between the greater curvature of the stomach and the transverse colon. The fistula was covered by double colonic stenting, with a covered metal stent placed within an uncovered metal stent, after which leakage from the stomach to the colon stopped.<\/jats:p>","DOI":"10.5946\/ce.2022.117","type":"journal-article","created":{"date-parts":[[2023,5,11]],"date-time":"2023-05-11T07:47:00Z","timestamp":1683791220000},"page":"812-816","update-policy":"https:\/\/doi.org\/10.5946\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Gastric cancer presenting with ramucirumab-related gastrocolic fistula successfully managed by colonic stenting: a case 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