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

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.

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Bibliographic Details
Main Authors: Campbell,Beth M., Clark,David, Harvey,James, Reid,Andrew
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Coloproctologia 2018
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632018000200151
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Summary: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.