ArticleWorld journal of gastroenterology2017
Incidental adenocarcinoma in patients undergoing surgery for stricturing Crohn's disease.
Article in World journal of gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 12 citations in OpenAlex.
- Endoscopic colorectal cancer surveillance in inflammatory bowel disease: Considerations that we must not forget.World journal of gastrointestinal endoscopy · 2022Review
- Crohn's Disease and the Risk of Cancer.Clinics in colon and rectal surgery · 2019Review
- Strictureplasty in Complex Crohn's Disease: Beyond the Basics.Clinics in colon and rectal surgery · 2019Review
- Targeting Inflammation to Improve Tumor Drug Delivery.Trends in cancer · 2017Review
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo evaluate frequency and clinical course of incidental adenocarcinoma in patients with stricturing Crohn's disease (CD).
methodsIn this study, consecutive patients, who were operated on for stricturing CD between 1997-2012, were included at an academic tertiary referral center. Demographic data and clinical course were obtained by an institutional database and individual chart review. Besides baseline characteristics, intraoperative findings and CD related history were also recorded. Colorectal cancer was classified and staged according to the Union for International Cancer Control (UICC).
resultsDuring the study period 484 patients underwent resections due to stricturing CD. Incidental adenocarcinoma was histologically confirmed in 6 (1.2%) patients (4 males, 2 females). Patients diagnosed with colorectal cancer had a median age of 43 (27-66) years and a median history of CD of 16 (7-36) years. Malignant lesions were found in the rectum (
conclusionThe frequency of incidental colorectal cancer in patients, who undergo surgery for stenotic CD, is low but associated with poor prognosis. However, surgeons need to be aware about the possibility of malignancy in stricturing CD, especially if localized in the rectum.
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