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Anastomotic ulceration: a late complication of ileocolonic anastomosis.
J Pediatr. 1995 Aug; 127(2):225-30.JPed

Abstract

Symptomatic ulceration developed at a previous ileocolonic anastomosis in six children. In the neonatal period all patients had had necrotizing enterocolitis that required resection of the terminal ileum, ileocecal valve, and proximal portion of the colon. Gross or occult rectal bleeding, with or without pain and diarrhea, began 5 1/2 years after successful resection and ileocolonic anastomosis. The cause of the ulcers is unknown. They appear inflammatory, both grossly and histologically, but have been uniformly unresponsive to antiinflammatory medications, antibiotics, and immunosuppressive medication. Surgical revision of the anastomosis and ulcer resection in five patients have resulted in rapid recurrence in four. Thirteen similar cases have been reported in the English-language literature. We conclude that ulceration is a long-term complication of neonatal resection of the terminal ileum and ascending colon with ileocolonic anastomosis.

Authors+Show Affiliations

Department of Pediatrics, University of Colorado Health Sciences Center, Children's Hospital, Denver, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

7636646

Citation

Sondheimer, J M., et al. "Anastomotic Ulceration: a Late Complication of Ileocolonic Anastomosis." The Journal of Pediatrics, vol. 127, no. 2, 1995, pp. 225-30.
Sondheimer JM, Sokol RJ, Narkewicz MR, et al. Anastomotic ulceration: a late complication of ileocolonic anastomosis. J Pediatr. 1995;127(2):225-30.
Sondheimer, J. M., Sokol, R. J., Narkewicz, M. R., & Tyson, R. W. (1995). Anastomotic ulceration: a late complication of ileocolonic anastomosis. The Journal of Pediatrics, 127(2), 225-30.
Sondheimer JM, et al. Anastomotic Ulceration: a Late Complication of Ileocolonic Anastomosis. J Pediatr. 1995;127(2):225-30. PubMed PMID: 7636646.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anastomotic ulceration: a late complication of ileocolonic anastomosis. AU - Sondheimer,J M, AU - Sokol,R J, AU - Narkewicz,M R, AU - Tyson,R W, PY - 1995/8/1/pubmed PY - 1995/8/1/medline PY - 1995/8/1/entrez SP - 225 EP - 30 JF - The Journal of pediatrics JO - J. Pediatr. VL - 127 IS - 2 N2 - Symptomatic ulceration developed at a previous ileocolonic anastomosis in six children. In the neonatal period all patients had had necrotizing enterocolitis that required resection of the terminal ileum, ileocecal valve, and proximal portion of the colon. Gross or occult rectal bleeding, with or without pain and diarrhea, began 5 1/2 years after successful resection and ileocolonic anastomosis. The cause of the ulcers is unknown. They appear inflammatory, both grossly and histologically, but have been uniformly unresponsive to antiinflammatory medications, antibiotics, and immunosuppressive medication. Surgical revision of the anastomosis and ulcer resection in five patients have resulted in rapid recurrence in four. Thirteen similar cases have been reported in the English-language literature. We conclude that ulceration is a long-term complication of neonatal resection of the terminal ileum and ascending colon with ileocolonic anastomosis. SN - 0022-3476 UR - https://www.unboundmedicine.com/medline/citation/7636646/Anastomotic_ulceration:_a_late_complication_of_ileocolonic_anastomosis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3476(95)70299-7 DB - PRIME DP - Unbound Medicine ER -