Late anastomotic ulceration after ileocolic resection in childhood [corrected].
Anastomotic ulcers are a rare late complication of ileocolic resection in children. The authors describe the cases of two patients who presented 10 and 8 years, respectively, after ileocolic resection. Both had suffered from iron-deficiency anemia caused by an anastomotic ulcer. In one patient the anemia improved after resection of the ulcer; in the second patient cholestyramine and a lactose-free diet resolved the problems of anemia and diarrhea. Anastomotic ulceration should be suspected in any child who has undergone an ileocolic anastomosis and subsequently presents with persistent iron-deficiency anemia and occult blood in the stool.
Paterson
C A
CA
Department of Surgery, McMaster University, Hamilton, Ont.
Langer
J C
JC
Cameron
G S
GS
Issenman
R M
RM
Marcaccio
M J
MJ
D000714:Anastomosis, Surgical / Q000009:adverse effects*; D000747:Anemia, Hypochromic / Q000209:etiology*; D002675:Child, Preschool; D003106:Colon / Q000601:surgery*; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery*; D007231:Infant, Newborn; D007410:Intestinal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D009780:Occult Blood; D012086:Reoperation; D013997:Time Factors; D014456:Ulcer