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
Nephrology; General Internal Medicine; Molecular Medicine; Radiology
PMID
DOI
10.4240/wjgs.v7.i6.94