Cancer in an ileoanal reservoir: a new late complication?

H. Stern, S. Walfisch, B. Mullen, R. McLeod, Z. Cohen

Research output: Contribution to journalArticlepeer-review

192 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)473-475
Number of pages3
JournalGut
Volume31
Issue number4
DOIs
StatePublished - 1 Jan 1990
Externally publishedYes

ASJC Scopus subject areas

  • Gastroenterology

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