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01-05-2008 | Case Report

Pelvic Cancer Ten Years after Restorative Proctocolectomy in Indeterminate Colitis: Report of a Case

Authors: David Stern, M.D., Dipen Maun, M.D., Stephen R. Gorfine, M.D., Joel J. Bauer, M.D.

Published in: Diseases of the Colon & Rectum | Issue 5/2008

Excerpt

Restorative proctocolectomy is generally accepted as the procedure of choice for patients with chronic ulcerative colitis requiring surgery. Restorative proctocolectomy for patients with indeterminate colitis is somewhat more controversial because the reported complication rate is higher after this procedure.1‐4 For either diagnosis, most surgeons believe that restorative proctocolectomy greatly reduces or even eliminates the risk of inflammatory bowel disease-associated colorectal cancer. Although restorative proctocolectomy does seem to lower the cancer risk, it is not eliminated. Eighteen cases of postoperative “pouch-related” cancers after restorative proctocolectomy have been reported in the literature.5‐22 Most of these cancers were discovered fairly soon after restorative proctocolectomy, and all but two were found in patients with chronic ulcerative colitis. There have been no reports of pouch-related cancer in patients with indeterminate colitis. We present a patient with indeterminate colitis who developed pouch-related adenocarcinoma ten years after restorative proctocolectomy despite on-going pouch surveillance. …

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Title: Pelvic Cancer Ten Years after Restorative Proctocolectomy in Indeterminate Colitis: Report of a Case
Authors: David Stern, M.D.
Dipen Maun, M.D.
Stephen R. Gorfine, M.D.
Joel J. Bauer, M.D.
Publication date: 01-05-2008
Publisher: Springer-Verlag
Published in: Diseases of the Colon & Rectum / Issue 5/2008
Print ISSN: 0012-3706
Electronic ISSN: 1530-0358
DOI: https://doi.org/10.1007/s10350-007-9186-z

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Pelvic Cancer Ten Years after Restorative Proctocolectomy in Indeterminate Colitis: Report of a Case

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