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Canadian Journal of Gastroenterology
Volume 21, Issue 8, Pages 513-515
http://dx.doi.org/10.1155/2007/824792
Brief Communication

Ileocolonic Ulcer Treated by Endoscopic Application of Collagen-Polyvinylpyrrolidone

Andrés de Hoyos Garza,1 Edgar A Esparza Aguilar,1 and Griselda Checa Richards2

1Gastroenterology, Angeles del Pedregal Hospital, Mexico City, Mexico
2Anesthesiology, Angeles del Pedregal Hospital, Mexico City, Mexico

Received 2 August 2006; Accepted 25 September 2006

Copyright © 2007 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Ulceration is a complication that may occur after an ileocolonic anastomosis. Most of the etiologies remain speculative. The case of a 33-year-old woman with eosinophilic colitis is reported, in whom a colectomy with an ileocolonic anastomosis was performed. After four months, the patient presented with a stenosis in the ileocolonic anastomosis, necessitating surgical restoration. Four weeks later, the patient presented with rectal bleeding, and a colonoscopy showed an ulcer in the anastomosis. Collagen-polyvinylpyrrolidone was applied into and on the surface of the ulcer, and five days later the procedure was repeated. Follow-up endoscopies at seven days and three months showed complete healing of the ulcer and the patient remained without bleeding throughout a further four weeks of follow-up tests. It was concluded that this biological product could be an excellent treatment for these lesions.