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CC BY-NC-ND 4.0 · Journal of Coloproctology 2018; 38(02): 151-153
DOI: 10.1016/j.jcol.2017.12.006
Case Report

A case study of ileal metaplasia and neoplasia in a patient with an ileal-rectal anatomosis

Um caso de estudo de metaplasia ileal e neoplasia em paciente con anastomose ileal-retal
Beth M. Campbell
a   Royal Brisbane and Women's Hospital, Herston, Australia
b   The University of Queensland, Brisbane, Australia
,
David Clark
a   Royal Brisbane and Women's Hospital, Herston, Australia
,
James Harvey
a   Royal Brisbane and Women's Hospital, Herston, Australia
,
Andrew Reid
b   The University of Queensland, Brisbane, Australia
c   Pathology Queensland, Herston, Australia
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Abstract

A clear link between ulcerative colitis and the formation of dysplasia and neoplasia has been described. This increased risk remains even after subtotal colectomy and ileo-rectal anastomosis, necessitating life-long surveillance of the remaining ano-rectum. This case study highlights the importance in long-term follow up in this population, including proximal to the anastomosis as dysplastic changes can occur in the distal ileum.

Resumo

Uma ligação clara entre colite ulcerativa e a formação de displasia e neoplasia tem sido descrita. Ese risco aumentado permanece mesmo após colectomia subtotal e ileo-retal, necesitando de uma vigilância ao longo da vida do ano-recto restante. Este caso de estudo realça a importância no acompanhamento a longo prado dessa população, incluindo áqueles próximos à anastomose já que podem ocorrer alteraçoes displásicas no íleo distal.

Keywords

Ulcerative colitis - Colectomy - Follow-up - Neoplasms

Palavras-chave

Colite ulcerativa - Colectomia - Seguimento - Neoplasias


Publication History

Received: 27 September 2017

Accepted: 10 December 2017

Article published online:
08 March 2021

© 2018. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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