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In the 1950s the treatment of ulcerative colitis was revolutionized by Brooke by way of a colectomy combined with an eversion ileostomy. This procedure is known to be associated with a number of complications that include skin excoriation, stenosis, intestinal obstruction, retraction or prolapse of the stoma, abscess and fistula formation, and ileitis. However, adenocarcinoma arising in the abnormally placed small intestinal mucosa 20 years or more after the initial operation is being increasingly recognized and reported. This article describes one such case and includes an extensive review of the current world literature on the subject of adenocarcinoma arising as a late complication of operation for ulcerative colitis.
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- The management of an ileostomy including its complications.Lancet. 1952; 2: 102-104
- Carcinoma arising in an ileostomy: an unusual complication of adenomatous polyposis coli.Cancer. 1982; 49: 2180-2184
- Carcinoma of the ileostomy in a patient with familial adenomatous polyposis.Br J Surg. 1988; 75: 384
- Carcinoma developing in ileostomies after twenty-five years or more.Gastroenterology. 1988; 95: 205-208
- Adenocarcinoma of the ileostomy occurring after colectomy for ulcerative colitis: report of a case.Dis Colon Rectum. 1969; 12: 45-48
- Primary mucinous adenocarcinoma developing in an ileostomy stoma.Gut. 1988; 29: 1607-1612
- Adenocarcinoma of the ileostomy: the latent risk of cancer after colecotmy for ulcerative colitis and familial polyposis.Surgery. 1990; 107: 698-703
- Adenocarcinoma arising in an ileostomy: report of two cases and review of the literature.Arch Surg. 1989; 124: 497-499
- Adenocarcinoma at the ileo-cutaneous junction following subtotal colectomy for ulcerative colitis.Acta Chir Scand. 1988; 154: 685-686
- Recurrent ileal mucinous adenocarcinoma in an ileostomy.J Clin Gastroenterol. 1986; 8: 192-194
- Primary adenocarcinoma arising at an ileostomy site: an unusual complication after colectomy for ulcerative colitis.Dis Colon Rectum. 1986; 29: 572-575
- Adenocarcinoma arising at the ileocutaneous junction occurring after proctocolectomy for ulcerative colitis.Br J Surg. 1986; 73: 378
- Primary carcinoma of the ileostomy after colectomy for ulcerative colitis.Dig Dis Sci. 1988; 33: 509-512
- Adenocarcinoma arising at an ileostomy site: report of a case.Cancer. 1976; 37: 949-952
- Experience with the use of high-dose interleukin-2 in the treatment of 652 cancer patients.Ann Surg. 1989; 210: 474-485
- A human hybrid hybridoma.J Immunol. 1987; 139: 3402-3405
- Primary stomal adenocarcinoma: an unusual complication of ileostomy.Dis Colon Rectum. 1983; 26: 47-49
- Adenocarcinoma of an ileostomy site with skin invasion: a case report.Gastroenterology. 1983; 84: 168-170
- Multiple adenocarcinomas and premalignant changes in “backwash” ileitis.Am J Med. 1979; 66: 879-882
- Studies of intestinal microflora: a unique microbial ecology.Gastroenterology. 1967; 53: 875-880
Accepted: June 18, 1992
© 1993 Published by Elsevier Inc.