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Increased risk of rectal cancer after colectomy in IBD - Medical Conferences

Home > Gastroenterology > ECCO 2021 > Risk Mitigation > Increased risk of rectal cancer after colectomy in IBD

Increased risk of rectal cancer after colectomy in IBD

Presented By
Dr Elena Akimenko, Gentofte Hospital, Denmark
Conference
ECCO 2021
The risk of rectal cancer was 8 times higher in patients with a diverted rectum after subtotal colectomy, as compared with inflammatory bowel disease (IBD) patients without a history of subtotal colectomy. This result implies that this subgroup of patients needs a specific strategy monitoring rectal cancer. The cumulative risk of subtotal colectomy with ileostomy and diverted rectum is ~7.5% after 5 years. The current, nationwide Danish, population-based cohort study compared the risk of rectal cancer in IBD patients with a diverted rectum following subtotal colectomy with IBD patients without surgery [1]. In addition, the results were compared with a matched background population. Rectal cancer occurred in 42 of 4,931 IBD patients (0.9%) with a diverted rectum after subtotal colectomy. In IBD patients without colectomy, 209 of 49,251 (0.4%) received a diagnosis of rectal cancer. The background population demonstrated a similar ratio of rectal cance...


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