Colorectal Cancer Arising in a Colon Interposition After Esophageal Reconstruction: The Medical Oncology Perspective
Severe esophageal disease can be remedied with colonic interposition, a surgical procedure in which the resected esophagus is replaced by a segment of colon. The development of adenocarcinoma in the colon conduit is a rare but growing long-term complication of this procedure. Here, we present a case...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2025-03-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2024.0751 |
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| author | Nikita V. Baclig Aileen T. MacAndrew Jane Yanagawa Alireza Sedarat Bernard J. Katz David W. Dawson Mark D. Girgis Lee S. Rosen |
| author_facet | Nikita V. Baclig Aileen T. MacAndrew Jane Yanagawa Alireza Sedarat Bernard J. Katz David W. Dawson Mark D. Girgis Lee S. Rosen |
| author_sort | Nikita V. Baclig |
| collection | DOAJ |
| description | Severe esophageal disease can be remedied with colonic interposition, a surgical procedure in which the resected esophagus is replaced by a segment of colon. The development of adenocarcinoma in the colon conduit is a rare but growing long-term complication of this procedure. Here, we present a case of colorectal cancer that developed decades after colonic interposition for childhood esophageal injury due to caustic ingestion. We highlight the challenges inherent in evaluation, treatment, surveillance, and survivorship for this unfortunate complication and describe our institution's successful approach to this complex case. |
| format | Article |
| id | doaj-art-a8395d4de8bb4877b2cc0c00a4b8cde8 |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-a8395d4de8bb4877b2cc0c00a4b8cde82025-08-20T02:17:33ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642025-03-014310.7326/aimcc.2024.0751Colorectal Cancer Arising in a Colon Interposition After Esophageal Reconstruction: The Medical Oncology PerspectiveNikita V. Baclig0Aileen T. MacAndrew1Jane Yanagawa2Alireza Sedarat3Bernard J. Katz4David W. Dawson5Mark D. Girgis6Lee S. Rosen71Division of Hematology and Oncology, Department of Medicine, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California1Division of Hematology and Oncology, Department of Medicine, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California3Department of Surgery, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California4Division of Digestive Diseases, Department of Medicine, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California5Department of Family Medicine, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California6Jonsson Comprehensive Cancer Center and Department of Pathology and Laboratory Medicine, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California3Department of Surgery, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California1Division of Hematology and Oncology, Department of Medicine, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, CaliforniaSevere esophageal disease can be remedied with colonic interposition, a surgical procedure in which the resected esophagus is replaced by a segment of colon. The development of adenocarcinoma in the colon conduit is a rare but growing long-term complication of this procedure. Here, we present a case of colorectal cancer that developed decades after colonic interposition for childhood esophageal injury due to caustic ingestion. We highlight the challenges inherent in evaluation, treatment, surveillance, and survivorship for this unfortunate complication and describe our institution's successful approach to this complex case.https://www.acpjournals.org/doi/10.7326/aimcc.2024.0751 |
| spellingShingle | Nikita V. Baclig Aileen T. MacAndrew Jane Yanagawa Alireza Sedarat Bernard J. Katz David W. Dawson Mark D. Girgis Lee S. Rosen Colorectal Cancer Arising in a Colon Interposition After Esophageal Reconstruction: The Medical Oncology Perspective Annals of Internal Medicine: Clinical Cases |
| title | Colorectal Cancer Arising in a Colon Interposition After Esophageal Reconstruction: The Medical Oncology Perspective |
| title_full | Colorectal Cancer Arising in a Colon Interposition After Esophageal Reconstruction: The Medical Oncology Perspective |
| title_fullStr | Colorectal Cancer Arising in a Colon Interposition After Esophageal Reconstruction: The Medical Oncology Perspective |
| title_full_unstemmed | Colorectal Cancer Arising in a Colon Interposition After Esophageal Reconstruction: The Medical Oncology Perspective |
| title_short | Colorectal Cancer Arising in a Colon Interposition After Esophageal Reconstruction: The Medical Oncology Perspective |
| title_sort | colorectal cancer arising in a colon interposition after esophageal reconstruction the medical oncology perspective |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2024.0751 |
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