CANCER IN AN ILEOANAL RESERVOIR - A NEW LATE COMPLICATION

被引:160
作者
STERN, H [1 ]
WALFISCH, S [1 ]
MULLEN, B [1 ]
MCLEOD, R [1 ]
COHEN, Z [1 ]
机构
[1] UNIV TORONTO,TORONTO M5S 1A1,ONTARIO,CANADA
关键词
D O I
10.1136/gut.31.4.473
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
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 widespread 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.
引用
收藏
页码:473 / 475
页数:3
相关论文
共 14 条
[1]  
BUBRICK MP, 1985, SURGERY, V98, P689
[2]   THE PELVIC POUCH AND ILEOANAL ANASTOMOSIS PROCEDURE - SURGICAL TECHNIQUE AND INITIAL RESULTS [J].
COHEN, Z ;
MCLEOD, RS ;
STERN, H ;
GRANT, D ;
NORDGREN, S .
AMERICAN JOURNAL OF SURGERY, 1985, 150 (05) :601-607
[3]   COLON CANCER, DYSPLASIA, AND SURVEILLANCE IN PATIENTS WITH ULCERATIVE-COLITIS - A CRITICAL-REVIEW [J].
COLLINS, RH ;
FELDMAN, M ;
FORDTRAN, JS .
NEW ENGLAND JOURNAL OF MEDICINE, 1987, 316 (26) :1654-1658
[4]   THE ILEAL RESERVOIR AND ILEOANAL ANASTOMOSIS PROCEDURE - FACTORS AFFECTING TECHNICAL AND FUNCTIONAL OUTCOME [J].
FLESHMAN, JW ;
COHEN, Z ;
MCLEOD, RS ;
STERN, H ;
BLAIR, J .
DISEASES OF THE COLON & RECTUM, 1988, 31 (01) :10-16
[5]   RESTORATIVE PROCTOCOLECTOMY - CLINICAL-RESULTS AND MANOMETRIC FINDINGS WITH LONG AND SHORT RECTAL CUFFS [J].
GRANT, D ;
COHEN, Z ;
MCHUGH, S ;
MCLEOD, R ;
STERN, H .
DISEASES OF THE COLON & RECTUM, 1986, 29 (01) :27-32
[6]   FATE OF THE RECTAL MUCOSA AFTER RECTAL MUCOSECTOMY AND ILEOANAL ANASTOMOSIS [J].
HEPPELL, J ;
WEILAND, LH ;
PERRAULT, J ;
PEMBERTON, JH ;
TELANDER, RL ;
BEART, RW .
DISEASES OF THE COLON & RECTUM, 1983, 26 (12) :768-771
[7]   INCIDENCE OF COLORECTAL-CANCER IN PROCTOCOLITIS - A RETROSPECTIVE STUDY OF 959 CASES OVER 40 YEARS [J].
MARATKA, Z ;
NEDBAL, J ;
KOCIANOVA, J ;
HAVELKA, J ;
KUDRMANN, J ;
HENDL, J .
GUT, 1985, 26 (01) :43-49
[8]   ILEAL J-POUCH-ANAL ANASTOMOSIS - CLINICAL OUTCOME [J].
METCALF, AM ;
DOZOIS, RR ;
KELLY, KA ;
BEART, RW ;
WOLFF, BG .
ANNALS OF SURGERY, 1985, 202 (06) :735-739
[9]   RESTORATIVE PROCTOCOLECTOMY WITH VARIOUS TYPES OF RESERVOIR [J].
NICHOLLS, RJ .
WORLD JOURNAL OF SURGERY, 1987, 11 (06) :751-762
[10]  
NUGENT FW, 1979, GASTROENTEROLOGY, V76, P1