LETTER
Iron deficiency anaemia and perianastomotic ulceration as a late complication of ileal resection in infancy
The General Infirmary at Leeds, Leeds, UK
Correspondence to:
Correspondence to:
Dr John W L Puntis
Keywords: neonatal bowel resection; iron deficiency anaemia; perianastomotic ulceration
| The first 150 words of the full text of this article appear below. |
I was interested to read the "editor’s quiz: GI snapshot" of iron deficiency anaemia in an adult who had been operated on for ileal atresia as a newborn infant (Gut 2007;56:43). While the heading for this item was "iron deficiency anaemia 10 years after small bowel resection in infancy", in fact the patient presented with anaemia at the age of 13 years, and from then it took 10 years to make the diagnosis (by video capsule endoscopy) of a circular ulcer at the site of ileo–ileal anastomosis. This is a well described but probably underrecognised late complication of bowel surgery in early childhood.1 Although an ischaemic aetiology has been mooted, pathological features have been poorly characterised, and the ulceration may be some distance from the site of anastomosis. Changes reported at the margins of some ulcers suggest the possibility that a vascular malformation produced ischaemic ulceration;
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Gut 2007 56: 43-51.[Abstract] [Full Text] [PDF]
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