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

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, ther...

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Main Authors: Seung-Ho Baek, Jang-Ho Lee, Dong Ryeol Yoo, Hye Yeong Kim, Meihua Jin, Ah-reum Jang, Dong-Hoon Yang, Jeong-Sik Byeon
Format: Article
Language:English
Published: Korean Society of Gastrointestinal Endoscopy 2019-07-01
Series:Clinical Endoscopy
Subjects:
Online Access:http://www.e-ce.org/upload/pdf/ce-2018-129.pdf
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author Seung-Ho Baek
Jang-Ho Lee
Dong Ryeol Yoo
Hye Yeong Kim
Meihua Jin
Ah-reum Jang
Dong-Hoon Yang
Jeong-Sik Byeon
author_facet Seung-Ho Baek
Jang-Ho Lee
Dong Ryeol Yoo
Hye Yeong Kim
Meihua Jin
Ah-reum Jang
Dong-Hoon Yang
Jeong-Sik Byeon
author_sort Seung-Ho Baek
collection DOAJ
description 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.
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spelling doaj.art-88a60042753248a3b9d518105d7656c72023-10-02T06:06:42ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432019-07-0152437738110.5946/ce.2018.1297263Colonic Intramucosal Cancer in the Interposed Colon Treated with Endoscopic Mucosal Resection: A Case Report and Review of LiteratureSeung-Ho Baek0Jang-Ho Lee1Dong Ryeol Yoo2Hye Yeong Kim3Meihua Jin4Ah-reum Jang5Dong-Hoon Yang6Jeong-Sik Byeon7 Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaColon 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.http://www.e-ce.org/upload/pdf/ce-2018-129.pdfColon interpositionAdenocarcinomaEndoscopic resectionScreening endoscopy
spellingShingle Seung-Ho Baek
Jang-Ho Lee
Dong Ryeol Yoo
Hye Yeong Kim
Meihua Jin
Ah-reum Jang
Dong-Hoon Yang
Jeong-Sik Byeon
Colonic Intramucosal Cancer in the Interposed Colon Treated with Endoscopic Mucosal Resection: A Case Report and Review of Literature
Clinical Endoscopy
Colon interposition
Adenocarcinoma
Endoscopic resection
Screening endoscopy
title Colonic Intramucosal Cancer in the Interposed Colon Treated with Endoscopic Mucosal Resection: A Case Report and Review of Literature
title_full Colonic Intramucosal Cancer in the Interposed Colon Treated with Endoscopic Mucosal Resection: A Case Report and Review of Literature
title_fullStr Colonic Intramucosal Cancer in the Interposed Colon Treated with Endoscopic Mucosal Resection: A Case Report and Review of Literature
title_full_unstemmed Colonic Intramucosal Cancer in the Interposed Colon Treated with Endoscopic Mucosal Resection: A Case Report and Review of Literature
title_short Colonic Intramucosal Cancer in the Interposed Colon Treated with Endoscopic Mucosal Resection: A Case Report and Review of Literature
title_sort colonic intramucosal cancer in the interposed colon treated with endoscopic mucosal resection a case report and review of literature
topic Colon interposition
Adenocarcinoma
Endoscopic resection
Screening endoscopy
url http://www.e-ce.org/upload/pdf/ce-2018-129.pdf
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