Rectal cancer as a complication of stapled IPAA.
A case of rectal cancer developing several years after a stapled pelvic pouch procedure is described. The need for concern about leaving residual columnar epithelium in patients with dysplasia or a synchronous cancer is highlighted. In this setting, leaving long segments of native rectum is particularly ill advised.
Hyman
Neil
N
Department of Surgery, University of Vermont College of Medicine, Burlington 05401, USA. Neil.Hyman@vtmednet.org
D002288:Adenocarcinoma, Mucinous / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D000328:Adult; D000714:Anastomosis, Surgical / Q000009:adverse effects; D003108:Colonic Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D016737:Proctocolectomy, Restorative / Q000009:adverse effects*; D012004:Rectal Neoplasms / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D017792:Surgical Stapling / Q000009:adverse effects*