PMID- 30199892
OWN - NLM
STAT- MEDLINE
DCOM- 20190523
LR  - 20200225
IS  - 1833-3516 (Print)
IS  - 2209-1491 (Electronic)
IS  - 1833-3516 (Linking)
VI  - 48
IP  - 3
DP  - 2018 Sep 30
TI  - A recurrent, ischaemic ileocolonic anastomosis ulcer refractory to surgery 
      treated with hyperbaric oxygen.
PG  - 194-196
LID - 10.28920/dhm48.3.194-196 [doi]
AB  - A 54-year-old male had undergone right hemicolectomy and ileo-colonic anastomosis 
      for carcinoma-in-situ found at colonoscopy. Eighteen months later, he presented 
      with a lower gastrointestinal bleed from an anastomotic ulcer, treated with 
      resection of the anastomotic site and ileo-sigmoid anastomosis. In the ensuing 12 
      months, he had three episodes of haematochezia. Colonoscopy revealed a 12 mm 
      anastomotic ulcer necessitating a further colonic resection and re-anastomosis. 
      Two-years later, he presented with iron deficiency anaemia. He preferred 
      expectant management and received ten iron-infusions over the subsequent four 
      years. Thereafter, he developed painless haematochezia. Colonoscopy showed a 15 
      mm linear ulcer with mild ooze at the anastomosis. Histology was consistent with 
      an ischaemic ulcer; there was no evidence of recurrence of carcinoma-in-situ. The 
      ulcer remained refractory to endoscopic and medical treatment, as seen at three 
      follow-up colonoscopies. Hyperbaric oxygen treatment (HBOT) was offered and he 
      received 30 sessions over six weeks. Colonoscopy at HBOT completion revealed 
      healing of the ulcer. The patient had no further overt bleeding and serum 
      ferritin has continued to rise spontaneously over 12 months follow-up.
CI  - Copyright: This article is the copyright of the authors who grant Diving and 
      Hyperbaric Medicine a non-exclusive licence to publish the article in electronic 
      and other forms.
FAU - Pateria, Puraskar
AU  - Pateria P
AD  - Corresponding author: Department of Gastroenterology and Hepatology, Service 4, 
      CD09, Fiona Stanley Hospital, 11 Robin Warren Drive, Murdoch, Western Australia 
      6150, Puraskar.Pateria@health.wa.gov.au.
FAU - Chong, Andre
AU  - Chong A
AD  - Department of Gastroenterology and Hepatology, Fiona Stanley Hospital, 11 Robin 
      Warren Drive, Murdoch, Western Australia 6150.
LA  - eng
PT  - Case Reports
PL  - Australia
TA  - Diving Hyperb Med
JT  - Diving and hyperbaric medicine
JID - 101282742
SB  - IM
MH  - Anastomosis, Surgical/*adverse effects
MH  - Colon
MH  - Humans
MH  - *Hyperbaric Oxygenation
MH  - Ischemia
MH  - Male
MH  - Middle Aged
MH  - *Ulcer/therapy
PMC - PMC6205864
OTO - NOTNLM
OT  - Case reports
OT  - Chronic wounds
OT  - Gastrointestinal tract
COIS- Conflicts of interest: nil.
EDAT- 2018/09/11 06:00
MHDA- 2019/05/24 06:00
PMCR- 2019/09/26
CRDT- 2018/09/11 06:00
PHST- 2018/07/26 00:00 [received]
PHST- 2018/08/06 00:00 [accepted]
PHST- 2018/09/11 06:00 [entrez]
PHST- 2018/09/11 06:00 [pubmed]
PHST- 2019/05/24 06:00 [medline]
PHST- 2019/09/26 00:00 [pmc-release]
AID - 10.28920/dhm48.3.194-196 [doi]
PST - ppublish
SO  - Diving Hyperb Med. 2018 Sep 30;48(3):194-196. doi: 10.28920/dhm48.3.194-196.