Ileocolic anastomotic ulcer after surgery in adulthood: case report and review of the literature.
Anastomotic ulcer is a rare complication after ileocolic resection, especially in adults without evidence of inflammatory bowel disease or tumor recurrence. We report the case of a 63-year-old male patient who presented 6 years after ileocolic resection, and also review the data of six similar cases described in the literature. The markedly reduced bile acid absorption found in our case raises the possibility of an etiological role of bile acids in the development of ileocolic anastomotic ulcers.
Péter
Z
Z
Department of Gastroenterology and Hepatology, Szent László Hospital, Budapest, Hungary. aug8zol@netscape.net
Bodoky
G
G
Szabó
Z
Z
Sonfalvi
E
E
Varga
Z
Z
Szilvási
I
I
D000714:Anastomosis, Surgical; D001706:Biopsy; D002430:Cecal Neoplasms / Q000601:surgery*; D003108:Colonic Diseases / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D016099:Endoscopy, Gastrointestinal; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000473:pathology; D007078:Ileal Neoplasms / Q000601:surgery*; D007413:Intestinal Mucosa / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis* / Q000473:pathology; D013528:Surgical Staplers; D014456:Ulcer / Q000175:diagnosis* / Q000473:pathology