Abstract
Patients with inflammatory bowel disease are at an increased risk of cancer secondary to long-standing intestinal inflammation. Surgical options must take into account the significant risk of synchronous disease at other colonic sites. Ileal pouch anal anastomosis is a viable option for patients with ulcerative colitis, but this should be restricted to early cancers that are unlikely to require preoperative or postoperative radiation treatment.
Keywords:
Cancer; Crohn; Dysplasia; Ulcerative colitis.
Copyright © 2019 Elsevier Inc. All rights reserved.
MeSH terms
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Anastomosis, Surgical
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Cell Transformation, Neoplastic / pathology*
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Colectomy / methods
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Colitis, Ulcerative / epidemiology
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Colitis, Ulcerative / pathology
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Colitis, Ulcerative / surgery
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Colorectal Neoplasms / epidemiology*
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Colorectal Neoplasms / pathology*
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Colorectal Neoplasms / surgery
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Comorbidity
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Crohn Disease / epidemiology
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Crohn Disease / pathology
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Crohn Disease / surgery
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Female
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Humans
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Incidence
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Inflammatory Bowel Diseases / epidemiology*
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Inflammatory Bowel Diseases / pathology
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Inflammatory Bowel Diseases / surgery*
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Male
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Precancerous Conditions / epidemiology
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Precancerous Conditions / pathology*
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Prognosis
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Risk Assessment
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Surgical Stomas
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Survival Analysis