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http://dx.doi.org/10.3345/kjp.2010.53.1.89

Perianastomotic ulceration presenting with long-term iron deficiency anemia and growth failure: A case report and review of the literature  

Kang, Kyung Ji (Departments of Pediatrics, Dongsan Medical Center, Keimyung University School of Medicine)
Kim, Eun Ha (Departments of Pediatrics, Dongsan Medical Center, Keimyung University School of Medicine)
Jung, Eun Young (Departments of Pediatric Surgery, Dongsan Medical Center, Keimyung University School of Medicine)
Park, Woo-Hyun (Departments of Pediatric Surgery, Dongsan Medical Center, Keimyung University School of Medicine)
Kang, Yu-Na (Departments of Pathology, Dongsan Medical Center, Keimyung University School of Medicine)
Kim, Ae Suk (Department of Pediatrics, Dongguk University College of Medicine)
Hwang, Jin-Bok (Departments of Pediatrics, Dongsan Medical Center, Keimyung University School of Medicine)
Publication Information
Clinical and Experimental Pediatrics / v.53, no.1, 2010 , pp. 89-92 More about this Journal
Abstract
Perianastomotic ulceration (PAU) rarely occurs after small bowel resection in infancy. Since the understanding of its pathogenesis is incomplete, an effective method of treatment has not yet been discovered. We report the first case in Korea of a 10-year-old girl with chronic iron deficiency anemia (IDA) and growth failure who was diagnosed with PAU at colonoscopy. Seven years were required to identify the cause of IDA. After surgical resection and revision of anastomosis, a close follow-up is being conducted due to the risk of recurrence. Here, we also review reports on 25 pediatric patients with PAU derived from a search of the English-language literature and describe the clinical features of PAU along with the results of treatment.
Keywords
Perianastomotic ulceration; Iron deficiency anemia; Growth failure; Colonoscopy;
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