Koh P K, Doumit J, Downs-Kelly E, Bronner M P, Salimi R, Fazio V W, Vogel J D
Department of Colorectal Surgery, Cleveland Clinic, 9500 Euclid Avenue, A30, Cleveland, OH 44195, USA.
Tech Coloproctol. 2008 Dec;12(4):341-5. doi: 10.1007/s10151-008-0420-z. Epub 2008 Jun 10.
Restorative proctocolectomy with ileal pouchanal anastomosis (IPAA) is the surgical treatment of choice for complicated ulcerative colitis. Development of ileal pouch-related cancer is a rare event and usually occurs in association with backwash ileitis or chronic pouchitis. We report a case of adenocarcinoma at the inlet of an ileal pouch in a 68-year-old Caucasian male, 14 years after restorative proctocolectomy for ulcerative colitis in the absence of severe chronic pouchitis or backwash ileitis. The operative technique is described, with a review of the literature on ileal pouch cancer.
回肠贮袋肛管吻合术（IPAA）的结直肠修复术是复杂性溃疡性结肠炎的首选外科治疗方法。回肠贮袋相关癌症的发生是一种罕见事件，通常与反流性回肠炎或慢性贮袋炎有关。我们报告了一例68岁白种男性回肠贮袋入口处腺癌的病例，该患者在因溃疡性结肠炎接受结直肠修复术后14年，不存在严重慢性贮袋炎或反流性回肠炎。本文描述了手术技术，并对回肠贮袋癌的文献进行了综述。
