Publication Date

2015

Journal Title

World J Gastrointest Surg

Abstract

Total colectomy with ileostomy placement is a treatment for patients with inflammatory bowel disease or familial adenomatous polyposis (FAP). A rare and late complication of this treatment is carcinoma arising at the ileostomy site. We describe two such cases: a 78-year-old male 30 years after subtotal colectomy and ileostomy for FAP, and an 85-year-old male 50 years after colectomy and ileostomy for ulcerative colitis. The long latency period between creation of the ileostomies and development of carcinoma suggests a chronic metaplasia due to an irritating/inflammatory causative factor. Surgical excision of the mass and relocation of the stoma is the mainstay of therapy, with possible benefits from adjuvant chemotherapy. Newly developed lesions at stoma sites should be biopsied to rule out the possibility of this rare ileostomy complication.

Volume Number

7

Issue Number

6

Pages

94-7

Document Type

Article

EPub Date

2015/07/02

Status

Faculty; Northwell Researcher

Facility

School of Medicine; Northwell Health

Primary Department

Surgery

Additional Departments

Medicine; Molecular Medicine; Radiology

PMID

26131331

DOI

10.4240/wjgs.v7.i6.94


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Surgery Commons

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