Abstract
A case of adenocarcinoma, developed in the anal canal after ileal pouch-anal anastomosis for ulcerative colitis using a double stapling technique, is reported. In this case a T3N0 cecal cancer was found unexpectedly in the colectomy specimen. Two years later, this patient presented with an outlet obstruction of the pouch because of development of an adenocarcinoma of the anal canal. This was treated with an abdominoperineal excision of the pouch and anorectum.
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References
AG Parks RJ Nicholls (1978) ArticleTitleProctocolectomy without ileostomy for ulcerative colitis BMJ 2 85–88
RJ Heald DR Allen (1986) ArticleTitleStapled ileo-anal anastomosis Br J Surg 73 571–572
D Johnston PJ Holdsworth DG Nasmyth et al. (1987) ArticleTitlePreservation of the entire anal canal in conservative proctocolectomy for ulcerative colitis Br J Surg 74 940–944
HJ Sugerman HH Newsome G Decosta AM Zfass (1991) ArticleTitleStapled ileoanal anastomosis for ulcerative colitis and familial polyposis without a temporary diverting ileostomy Ann Surg 213 606–619
HJ Sugerman HH Newsome (1994) ArticleTitleStapled ileoanal anastomosis without a temporary ileostomy Am J Surg 167 58–66
PM Sagar PJ Holdsworth D Johnston (1991) ArticleTitleCorrelation between laboratory findings and clinical outcome after restorative proctocolectomy Br J Surg 78 67–70
MM Ravitch (1984) ArticleTitleThe reception of new operations Ann Surg 200 231–246
H Stern S Walfisch B Mullen R McLeod Z Cohen (1990) ArticleTitleCancer in an ileoanal reservoir Gut 31 473–475
D Puthu N Rajan R Rao L Rao P Venugopal (1992) ArticleTitleCarcinoma of the rectal pouch following restorative proctocolectomy Dis Colon Rectum 35 257–260
JC Rodriguez-Sanjuan MG Polavieja A Naranjo J Castillo (1995) ArticleTitleAdenocarcinoma in an ileal pouch for ulcerative colitis [letter] Dis Colon Rectum 38 779–780
R Sequens (1997) ArticleTitleCancer in the anal canal (transitional zone) after restorative proctocolectomy with stapled ileal pouch anastomosis Int J Colorectal Dis 12 254–257
VE Pricolo (1994) ArticleTitleIleal pouch-anal anastomosis R I Med 77 382–384
PB McIntyre JH Pemberton BG Wolff RW Beart SuffixJr RR Dozois (1994) ArticleTitleComparing functional results one year and ten years after ileal pouch-anal anastomosis for chronic ulcerative colitis Dis Colon Rectum 37 303–307
WB Tuckson VW Fazio (1991) ArticleTitleFunctional comparison between double and triple ileal loop pouches Dis Colon Rectum 34 17–21
JW Fleshman Z Cohen RS McLeod H Stern J Blair (1988) ArticleTitleThe ileal reservoir and ileoanal anastomosis procedure. Factors affecting technical and functional outcome Dis Colon Rectum 31 10–16
EW Fonkalsrud (1987) ArticleTitleUpdate on clinical experience with different surgical techniques of the endorectal pull-through operation for colitis and polyposis Surg Gynecol Obstet 165 309–316
RJ Nicholls DZ Lubowski (1987) ArticleTitleRestorative proctocolectomy Br J Surg 74 564–566
MR Keighley MC Winslet R Flinn W Kmiot (1989) ArticleTitleMultivariate analysis of factors influencing the results of restorative proctocolectomy Br J Surg 76 740–744
S Choen A Tsunoda RJ Nicholls (1991) ArticleTitleProspective randomized trial comparing anal function after hand sewn ileoanal anastomosis with mucosectomy versus stapled ileoanal anastomosis without mucosectomy in restorative proctocolectomy Br J Surg 78 430–434
P Luukkonen H Jarvinen (1993) ArticleTitleStapled vs hand-sutured ileoanal anastomosis in restorative proctocolectomy. A prospective, randomized study Arch Surg 128 437–440
WT Reilly JH Pemberton BG Wolff S Nivatvongs RM Devine WJ Litchy PB McIntyre (1997) ArticleTitleRandomized prospective trial comparing ileal pouch-anal anastomosis performed by excising the anal mucosa to ileal pouch-anal anastomosis performed by preserving the anal mucosa Ann Surg 225 666–677
PB McIntyre JH Pemberton RW Beart SuffixJr RM Devine S Nivatvongs (1994) ArticleTitleDouble-stapled vs. handsewn ileal pouch-anal anastomosis in patients with chronic ulcerative colitis Dis Colon Rectum 37 430–433
MW Thompson-Fawcett NJ Mortensen (1996) ArticleTitleAnal transitional zone and columnar cuff in restorative proctocolectomy Br J Surg 83 1047–1055
MW Thompson-Fawcett BF Warren NJ Mortensen (1998) ArticleTitleA new look at the anal transitional zone with reference to restorative proctocolectomy and the columnar cuff Br J Surg 85 1517–1521
J Heppell LH Weiland J Perrault JH Pemberton RL Telander RW Beart SuffixJr (1983) ArticleTitleFate of the rectal mucosa after rectal mucosectomy and ileoanal anastomosis Dis Colon Rectum 26 768–771
PR O’Connell JH Pemberton LH Weiland et al. (1987) ArticleTitleDoes rectal mucosa regenerate after ileoanal anastomosis? Dis Colon Rectum 30 1–5
SL Schmitt SD Wexner FV Lucas K James JJ Nogueras DG Jagelman (1992) ArticleTitleRetained mucosa after double-stapled ileal reservoir and ileoanal anastomosis Dis Colon Rectum 35 1051–1056
KW Gilchrist BA Harms JR Starling (1995) ArticleTitleAbnormal rectal mucosa of the anal transitional zone in ulcerative colitis Arch Surg 130 981–983
PN Haray B Amarnath EG Weiss JJ Nogueras SD Wexner (1996) ArticleTitleLow malignant potential of the double-stapled ileal pouch-anal anastomosis Br J Surg 83 1406–983
Y Ziv VW Fazio MT Sirimarco IC Lavery JR Goldblum RE Petras (1994) ArticleTitleIncidence, risk factors, and treatment of dysplasia in the anal transitional zone after ileal pouch-anal anastomosis Dis Colon Rectum 37 1281–1285
A Tsunoda IC Talbot RJ Nicholls (1990) ArticleTitleIncidence of dysplasia in the anorectal mucosa in patients having restorative proctocolectomy Br J Surg 77 506–508
WR Johnson ES Hughes FT McDermott EA Phil H Katrivessis (1986) ArticleTitleThe outcome of patients with ulcerative colitis managed by subtotal colectomy Surg Gynecol Obstet 162 421–425
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Baratsis, S., Hadjidimitriou, F., Christodoulou, M. et al. Adenocarcinoma in the Anal Canal After Ileal Pouch-Anal Anastomosis for Ulcerative Colitis Using a Double Stapling Technique. Dis Colon Rectum 45, 687–691 (2002). https://doi.org/10.1007/s10350-004-6268-z
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DOI: https://doi.org/10.1007/s10350-004-6268-z