Ileocolonic ulcer treated by endoscopic application of collagen-polyvinylpyrrolidone.
Ulceration is a complication that may occur after an ileocolonic anastomosis. Most of the etiologies remain speculative. The case of a 33-year-old woman with eosinophilic colitis is reported, in whom a colectomy with an ileocolonic anastomosis was performed. After four months, the patient presented with a stenosis in the ileocolonic anastomosis, necessitating surgical restoration. Four weeks later, the patient presented with rectal bleeding, and a colonoscopy showed an ulcer in the anastomosis. Collagen-polyvinylpyrrolidone was applied into and on the surface of the ulcer, and five days later the procedure was repeated. Follow-up endoscopies at seven days and three months showed complete healing of the ulcer and the patient remained without bleeding throughout a further four weeks of follow-up tests. It was concluded that this biological product could be an excellent treatment for these lesions.
Dé Hoyos Garza
Andrés
A
Gastroenterology, Hospital Angeles del Pedregal, Mexico City, Mexico. andehoyos@yahoo.com
Aguilar
E A Esparza
EA
Richards
Griselda Checa
GC
D000328:Adult; D000714:Anastomosis, Surgical / Q000009:adverse effects; D003092:Colitis / Q000473:pathology / Q000601:surgery; D003094:Collagen / Q000008:administration & dosage / Q000627:therapeutic use*; D003106:Colon / Q000473:pathology / Q000601:surgery*; D016099:Endoscopy, Gastrointestinal / Q000379:methods; D004802:Eosinophilia / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007082:Ileum / Q000473:pathology / Q000601:surgery*; D015552:Injections, Intralesional; D011205:Povidone / Q000008:administration & dosage / Q000627:therapeutic use*; D016896:Treatment Outcome; D014456:Ulcer / Q000188:drug therapy* / Q000209:etiology / Q000473:pathology
C120488:collagen-PVP; D003094:Collagen; D011205:Povidone
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