Ileocolic ulceration: a long-term complication following ileocolic anastomosis.
The long-term complications of loose stools and failure to thrive following resection of the ileocecal region with end-to-end ileocolic or jejunocolic anastomosis are well recognized. We report four cases of a previously undescribed insidious complication that has developed in 8% of our patients after a latent period of many years following the primary operation; that of perianastomotic ulceration leading to severe iron deficiency anemia.
Parashar
K
K
Children's Hospital, Birmingham, United Kingdom.
Kyawhla
S
S
Booth
I W
IW
Buick
R G
RG
Corkery
J J
JJ
D000293:Adolescent; D000714:Anastomosis, Surgical / Q000009:adverse effects; D000747:Anemia, Hypochromic / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D003106:Colon / Q000473:pathology / Q000601:surgery*; D003108:Colonic Diseases / Q000209:etiology* / Q000473:pathology; D003967:Diarrhea / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000473:pathology; D007082:Ileum / Q000473:pathology / Q000601:surgery*; D007223:Infant; D008297:Male; D011183:Postoperative Complications / Q000473:pathology; D014456:Ulcer / Q000209:etiology* / Q000473:pathology