Colonic Intramucosal Cancer in the Interposed Colon Treated with Endoscopic Mucosal Resection: A Case Report and Review of Literature

Clinical Endoscopy
Seung-Ho BaekJeong-Sik Byeon

Abstract

Colon interposition is a surgical procedure used for maintenance of luminal conduit after esophagectomy. Although epithelial neoplasia, such as adenoma and adenocarcinoma, may develop in the interposed colon, there are only few case reports on the condition. Due to the rarity of this condition, there is no definite consensus on recommending screening endoscopy for the early detection of neoplasia in the interposed colons. Here, we report a case of intramucosal adenocarcinoma in an interposed colon. Initial endoscopic resection for this tumor failed to accomplish complete resection. A subsequent endoscopic resection was performed 1 month later and complete resection was achieved. Based on our experience and recommendation on screening endoscopy for gastric cancer in Korea, we suggest that regular screening esophagogastroduodenoscopies should be performed following esophagectomy to detect early neoplasia in the stomach and interposed colon and avoid adverse results induced by delayed detection.

References

Jan 1, 1968·Annals of Surgery·H S Goldsmith, E J Beattie
Dec 1, 1980·Annals of Surgery·E W Wilkins
Dec 27, 2007·Yonsei Medical Journal·Hye Jin HwangYong Chan Lee
Apr 30, 2010·Gut·Stuart R CairnsUNKNOWN Association of Coloproctology for Great Britain and Ireland
May 13, 2010·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·E S KimM J Kim
Jun 29, 2012·Clinical Endoscopy·Bo-In LeeUNKNOWN Multi-Society Task Force for Development of Guidelines for Colorectal Polyp Screening, Surveillance and Management
Jun 18, 2014·Strategies in Trauma and Limb Reconstruction·Ewout S VeltmanPeter Kloen

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