Ileocolic ulceration: A long-term complication following ileocolic anastomosis

Parashar, Karan; Kyawhla, S.; Booth, I W; Buick, R.G.; Corkery, J.J.

doi:10.1016/s0022-3468(88)80727-9

Cited by 40 publications

(35 citation statements)

References 5 publications

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“…However, no recurrence was observed in only two (14.3%) of 14 medically treated cases 3,7) . A case 9) , in which PAU recurred after surgery, was treated with ranitidine and at follow-up for two years no recurrence was evident.…”

Section: Discussionmentioning

confidence: 91%

“…We reviewed the cases of 25 pediatric patients by searching the English-language literature for cases similar to ours 1,[3][4][5][6][7][8][9][10][11][12] (Table 1) . Five (29%) of 17 cases were diagnosed immediately 1,[5][6][7]10) , and the remaining 12 (71%) took 2.3±2.6…”

Section: Discussionmentioning

confidence: 99%

“…Thus, it should be considered that growth failure is an uncommon but possible disorder in PAU. Ten (44%) of 23 identified ulcers were single 1,[3][4][5][6][7][8]10) , and 13 (56%) were double or more 1,[3][4][5][6][8][9][10][11] . Diagnosis for one ulcer, discovered in the distal 10 cm of remaining Gastroschisis & ileal atresia 9 months 6.5 8 Surgical Yes…”

Section: Discussionmentioning

confidence: 99%

“…Perianastomotic ulceration (PAU) in these survivors was first reported 3) in 1988, and has been presented as a rare disorder in subsequent case reports. Previously reported PAU articles 4,5) have revealed some common clinical features; namely, an early diagnosis is difficult because PAU is a rare disease and its occurrence takes a long time after bowel resection.…”

Section: Introductionmentioning

confidence: 99%

“…We report firstly in Korea the case of a 10-year-old girl with PAU who was described as having chronic iron deficiency anemia (IDA) and growth failure. We also reviewed reports on 25 pediatric patients with PAU after searching the English-language literature 1,[3][4][5][6][7][8][9][10][11][12] for cases similar to ours. Here, we describe the clinical features of PAU along with the results of treatment, and discuss practical treatment measures.…”

Section: Introductionmentioning

confidence: 99%

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Perianastomotic ulceration presenting with long-term iron deficiency anemia and growth failure: A case report and review of the literature

et al. 2010

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= Abstract = Perianastomotic ulceration (PAU) rarely occurs after small bowel resection in infancy. Since the understanding of its pathogenesis is incomplete, an effective method of treatment has not yet been discovered. We report the first case in Korea of a 10-year-old girl with chronic iron deficiency anemia (IDA) and growth failure who was diagnosed with PAU at colonoscopy. Seven years were required to identify the cause of IDA. After surgical resection and revision of anastomosis, a close follow-up is being conducted due to the risk of recurrence. Here, we also review reports on 25 pediatric patients with PAU derived from a search of the English-language literature and describe the clinical features of PAU along with the results of treatment. (Korean J Pediatr 2010;53:89-92)

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Perianastomotic ulceration presenting with long-term iron deficiency anemia and growth failure: A case report and review of the literature

et al. 2010

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The long-term sequelae of ileocolic anastomosis in childhood: A retrospective survey

Parashar

Booth

Corkery

et al. 1990

Journal of British Surgery

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The long-term effects of ileocolic anastomosis in children are not known. We therefore carried out a survey of all such patients treated at our hospital between 1971 and 1985. Thirty-seven patients were identified and invited to attend for follow-up. Twenty-seven (73 per cent) were examined and included in the survey. Mean age at survey was 7.8 years (range 1.6-17.6 years) and mean duration since operation was 6.3 years. Necrotizing enterocolitis and intussusception were the commonest indications for operation. As judged by height, weight and skin fold thickness, all patients were well nourished. Seven (26 per cent) had loose stools, five had chronic folic acid deficiency and one was vitamin B12 deficient. We conclude that resection of the ileocaecal region is well tolerated in childhood and does not affect growth. Loose stools are directly related to the length of ileal resection.

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Late Gastrointestinal Bleeding and Protein Loss after Distal Small‐Bowel Resection in Infancy

Couper,

Durie,

Stafford

et al. 1989

J. pediatr. gastroenterol. nutr.

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Four children who underwent extensive small‐bowel resection in infancy developed recurrent iron deficiency anemia due to gastrointestinal bleeding between 4 and 12 years later. The initial resections were required for multiple ileal atresia (n = 2) and gastroschisis (n = 2). Three patients have had melena and one had persistently guaiac‐positive stools. Three patients had protein‐losing enteropathy, and in one there was persistent hypoalbuminemia. Colonoscopy identified circumferential ulcerative lesions at the surgical anastomosis (n = 2) and at laparotomy another patient had well‐defined linear ulcers close to the surgical anatomosis. Histology demonstrated focal ulceration with chronic inflammation, but did not show granulomata, crypt abcesses, or malignancy. Multiple imaging procedures and gastroduodenoscopy failed to identify an alternative bleeding source. Medical therapy including iron, antacids, sucralfate, H2 antagonists, and cholestyramine was ineffective. Two patients have undergone anastomotic resection. One experienced symptomatic recurrence 4 months after surgery. Repeat colonoscopy found ulceration at the new anatomosis with similar histology. The other patient remains asymptomatic 7 months postsurgery. Recurrent gastrointestinal hemorrhage due to anastomotic ulceration, of unknown etiology, appears to be a late complication of small‐bowel resection in infancy.

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Ileocolic ulceration: A long-term complication following ileocolic anastomosis

Cited by 40 publications

References 5 publications

Perianastomotic ulceration presenting with long-term iron deficiency anemia and growth failure: A case report and review of the literature

Perianastomotic ulceration presenting with long-term iron deficiency anemia and growth failure: A case report and review of the literature

The long-term sequelae of ileocolic anastomosis in childhood: A retrospective survey

Late Gastrointestinal Bleeding and Protein Loss after Distal Small‐Bowel Resection in Infancy

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