Ulceration in an ileocolic anastomosis treated with ranitidin

Arnbjörnsson, Einar; Larsson, Lars‐Erik

doi:10.1016/s0022-3468(99)90120-3

Cited by 12 publications

(15 citation statements)

References 6 publications

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“…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%

“…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. As this review makes obvious, medical therapy is associated with a low success rate and longterm medication is required.…”

Section: Discussionmentioning

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: 99%

Section: Discussionmentioning

confidence: 99%

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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“…Ten articles published previously in the English language literature describe 29 patients with ileocolonic AU (2–11). Most cases are probably not documented since the incidence of AU is variably reported to occur in up to 8% of all intestinal anastomoses, the vast majority of which are ileo‐colonic (2,8,13,14).…”

Section: Discussionmentioning

confidence: 99%

“…The age at the initial intestinal surgery varied greatly, ranging from 1 day to 74 years. Necrotizing enterocolitis, gastroschisis, bowel atresia, polyps, malignancies, inflammatory bowel disease and malrotation are each described as the original underlying etiology for bowel resection (2–11). Ulcers occurred from a few months to many years after the surgery, with a mean of 5.1 years (2).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, multiple factors may contribute to anemia after SBT, including the side effects of medications and micronutrient deficiencies. However, anastomotic ulcers (AU) have not been described previously as a cause of rectal bleeding or anemia following SBT, even though it is a well‐described complication following other intestine surgical intervention (2–11).…”

Section: Introductionmentioning

confidence: 99%

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Anastomotic Ulceration Following Small Bowel Transplantation

Turner¹,

Martin

Ngan³

et al. 2006

American Journal of Transplantation

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We describe, for the first time, anastomotic ulcers (AU) following bowel transplantation at the Hospital for Sick Children. Two children presented with rectal bleeding, 6 and 9 months, following the transplantation. Isolated ulcers were identified at the ileo-colonic and the colo-colonic anastomosis site. The ulcers resolved, but recurred 6 and 7 months after the initial presentation. Both patients were positive for adenovirus in the stool and were treated with rapamycin. The histology revealed granulation tissue formation with mild inflammation in the adjacent mucosa, without evidence of rejection or infection. A literature search revealed 10 studies reporting 29 patients who developed AU following various surgical etiologies, none of which was bowel transplant. Numerous factors that are unique to the post-transplant period may predispose to such ulcer and are discussed in detail. Physicians and surgeons should be aware of this multifactorial complication, among other etiologies, as a cause of anemia or rectal bleeding following intestinal transplantation.

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Short Bowel Syndrome

Kaufman¹

2011

Pediatric Gastrointestinal and Liver Disease

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Ulceration in an ileocolic anastomosis treated with ranitidin

Cited by 12 publications

References 6 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

Anastomotic Ulceration Following Small Bowel Transplantation

Short Bowel Syndrome

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