Cancer in an ileoanal reservoir: a new late complication?

The functional success rate of the ileoanal reservoir procedure for ulcerative colitis is quite high. Despite the few early and late complications described there is now wide-spread acceptance of this procedure in the management of ulcerative colitis. We report a patient who developed an adenocarcin...

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Bibliographic Details
Published in:Gut 1990-04, Vol.31 (4), p.473-475
Main Authors: Stern, H, Walfisch, S, Mullen, B, McLeod, R, Cohen, Z
Format: Article
Language:English
Subjects:
Adenocarcinoma - etiology
Anal Canal - surgery
Anastomosis, Surgical
Biological and medical sciences
Colitis, Ulcerative - surgery
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Ileum - surgery
Male
Medical sciences
Middle Aged
Other diseases. Semiology
Postoperative Complications
Rectal Neoplasms - etiology
Risk
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
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Summary:The functional success rate of the ileoanal reservoir procedure for ulcerative colitis is quite high. Despite the few early and late complications described there is now wide-spread acceptance of this procedure in the management of ulcerative colitis. We report a patient who developed an adenocarcinoma in the rectal cuff four years after having a pelvic pouch procedure. This new late complication brings to light several points including the importance of a radical total mucosectomy. The purpose of this paper is to discuss concern as to whether or not this procedure is indicated in colitis patients in whom severe dysplasia is the primary indication for surgery.
ISSN:0017-5749
1468-3288
1458-3288
DOI:10.1136/gut.31.4.473