Kategorie: Kolorektální karcinom
Téma: IX. Nádory tlustého střeva a konečníku
Číslo abstraktu: 091
Autoři: MUDr. Ivo Klementa, Ph.D.; MUDr.Mgr. Pavel Skalický, Ph.D.; doc. MUDr. Kamil Vysloužil, CSc.; MUDr. Lubomír Starý, Ph.D.; MUDr. Pavel Zbořil, Ph.D.; MUDr. Katherine Vomáčková; doc. MUDr. Čestmír Neoral, CSc.
The incidence of ulcerative colitis in the Czech Republic is 5-8/100 000. Surgical intervention is required in 20-30% of patients, of which 5% have a confirmed malignancy. To evaluate a set of 41 patients operated for ulcerative colitis at the I. Clinic of Surgery between the years 2003-2012, focusing on the occurrence of colorectal carcinoma in the terrain of ulcerative colitis.
Patients and methods:
On our set of patients, we monitored the duration of conservative therapy, the regularity of coloscopic control examinations, family background and other risk factors in the development of ulcerative colitis.
Colorectal carcinoma was confirmed in 5/54 patients (9.3%). The types of operations performed on these patients were: 1x restorative proctocolectomy with IPAA, 1x colectomy with ileorectal anastomosis, 1x proctocolectomy, 1x derivative ileostomy in patient with generalization, and 1x explorative laparotomy in patient with generalization.
Even with regular gastroenterological follow-up examinations, our set included 2 young patients with generalization of colorectal carcinoma.
Datum přednesení příspěvku: 18. 4. 2013