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Clin Colon Rectal Surg 2024; 37(01): 030-036
DOI: 10.1055/s-0043-1762561
Review Article

Rectal Cancer and Radiation in Colitis

Patricio B. Lynn
1   Division of Colorectal Surgery, Department of General Surgery, New York Presbyterian – Weill-Cornell, New York, New York
,
Catherine Cronin
2   Colorectal Surgery Service, Department of Surgical Oncology, Memorial Sloan Kettering Cancer Center, New York, New York
,
Sriram Rangarajan
2   Colorectal Surgery Service, Department of Surgical Oncology, Memorial Sloan Kettering Cancer Center, New York, New York
,
Maria Widmar
2   Colorectal Surgery Service, Department of Surgical Oncology, Memorial Sloan Kettering Cancer Center, New York, New York
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Abstract

Inflammatory bowel disease (IBD) is associated with an increased risk of colorectal cancer. When IBD patients develop a rectal cancer, this should be treated with the same oncological principles and guidelines as the general population. Rectal cancer treatment includes surgery, chemotherapy, and radiation therapy (RT). Many IBD patients will require a total proctocolectomy with an ileal-pouch anal anastomosis (IPAA) and others, restoration of intestinal continuity may not be feasible or advisable. The literature is scarce regarding outcomes of IPAA after RT. In the present review, we will summarize the evidence regarding RT toxicity in IBD patients and review surgical strategies and outcomes of IPAA after RT.

Keywords

inflammatory bowel disease - rectal cancer - ileal pouch-anal anastomosis - radiation therapy - functional outcomes


Publication History

Article published online:
22 February 2023

© 2023. Thieme. All rights reserved.

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