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Related Concept Videos

Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
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Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
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Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Tumor Progression02:07

Tumor Progression

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A Genetically Engineered Mouse Model of Sporadic Colorectal Cancer
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Published on: July 6, 2017

Advanced adenocarcinoma in a colonic interposition segment.

Madan Raj Aryal1, Naba Raj Mainali, Leena Jalota

  • 1Department of Internal Medicine, Reading Health System, West Reading, Pennsylvania, USA. aryal.madan@gmail.com

BMJ Case Reports
|May 21, 2013
PubMed
Summary

Adenomatous polyps and adenocarcinoma are rare late complications of colonic interposition surgery. This case highlights a late-stage adenocarcinoma in a colonic segment used to treat benign esophageal stricture.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Colorectal Surgery

Background:

  • Colonic interposition is a surgical technique used for esophageal reconstruction.
  • Late complications of this procedure are infrequently documented in medical literature.

Observation:

  • This report details a rare instance of a patient developing a late-stage adenocarcinoma.
  • The cancer was found within a colonic segment previously used for esophageal substitution.

Findings:

  • Adenocarcinoma developed as a late complication in a colonic interposition.
  • The colonic segment was originally used to address benign esophageal stricture.

Implications:

  • This case underscores the importance of long-term surveillance for patients undergoing colonic interposition.
  • Awareness of this potential complication is crucial for timely diagnosis and management of adenocarcinoma in these patients.