Korean Journal of Pediatrics 2010;53(1):89-92.
Published online January 15, 2010.
Perianastomotic ulceration presenting with long-term iron deficiency anemia and growth failure: A case report and review of the literature
Kyung Ji Kang1, Eun Ha Kim1, Eun Young Jung3, Woo-Hyun Park3, Yu-Na Kang2, Ae Suk Kim4, Jin-Bok Hwang2
1Departments of Pediatrics, Keimyung University School of Medicine, Daegu, Korea
2Departments of Pathology, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea
3Departments of Pediatric Surgery, Keimyung University School of Medicine, Daegu, Korea
4Department of Pediatrics, Dongguk University College of Medicine, Gyeongju, Korea
장기간의 철 결핍 빈혈 및 성장부전으로 발현된 장문합부위 궤양 1예
강경지1, 김은하1, 정은영3, 박우현3, 강유나2, 김애숙4, 황진복2
1계명대학교 의과대학 소아과학교실
2계명대학교 의과대학 소아과학교실
3계명대학교 의과대학 소아외과학교실
4동국대학교 의과대학 소아과학교실
Correspondence: 
Jin-Bok Hwang, Tel: +82.53-250-7331, Fax: 82.53-250-7783, Email: pedgi@kmu.ac.kr
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.
Key Words: Perianastomotic ulceration, Iron deficiency anemia, Growth failure, Colonoscopy


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