期刊
DISEASES OF THE COLON & RECTUM
卷 44, 期 2, 页码 284-287出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1007/BF02234306
关键词
Crohn's disease; strictureplasty; small-bowel adenocarcinoma
Strictureplasties have proven useful and safe in Crohn's disease. Concerns have been raised, however, about the potential of carcinoma arising at the strictureplasty site. Here the authors report a case of a small-bowel adenocarcinoma developing at the site of a prior strictureplasty in a middle-aged male patient seven years postoperatively in the absence of any other preneoplastic disease of the small bowel. Presenting symptoms were of progressive obstruction after a long period of quiescent disease. With this report comes stronger evidence that adenocarcinoma does occur at strictureplasty sites, raising questions of its longterm safety.
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