Strictureplasties have proven useful and safe in Crohn's disease. Concerns have been raised, however, about the potential of carcinoma arising at the strictureplasty site. Here the authors report a case of a small-bowel adenocarcinoma developing at the site of a prior strictureplasty in a middle-aged male patient seven years postoperatively in the absence of any other preneoplastic disease of the small bowel. Presenting symptoms were of progressive obstruction after a long period of quiescent disease. With this report comes stronger evidence that adenocarcinoma does occur at strictureplasty sites, raising questions of its long-term safety.
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Jaskowiak, N.T., Michelassi, F. Adenocarcinoma at a strictureplasty site in Crohn's disease. Dis Colon Rectum 44, 284–287 (2001). https://doi.org/10.1007/BF02234306
- Crohn's disease
- Small-bowel adenocarcinoma