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- Title
Lateral Spreading Tumor Arising in an Interposed Colonic Segment.
- Authors
Simões, Carolina; Mouraa, Miguel; Ferreira, Carlos Noronha; Rosa, Rosario; Freire, José Paulo; Ribeiro, Luís Carrilho; Marinho, Rui Tato
- Abstract
A 57-year-old woman developed dysphagia 30 years after esophagectomy with partial gastrectomy and colonic interposition due to severe and extensive caustic esophageal stricture. Upper gastrointestinal endoscopy showed a lateral spreading tumor in the colonic tube with a granular surface measuring 40 mm in diameter. The lesion was removed by piecemeal endoscopic mucosal resection. Histology revealed tubular adenoma with low/high-grade dysplasia. Although colonic interposition replacement is a relatively common procedure, especially in the past, the development of adenoma or adenocarcinoma as a late complication is very rare.
- Subjects
ESOPHAGEAL surgery; ADENOMA; AUTOGRAFTS; COLON (Anatomy); DEGLUTITION disorders; ESOPHAGEAL stenosis; GASTRECTOMY; THERAPEUTIC complications; ENDOSCOPIC gastrointestinal surgery
- Publication
ACG Case Reports Journal, 2019, Vol 6, Issue 10, p1
- ISSN
2326-3253
- Publication type
Article
- DOI
10.14309/crj.0000000000000245