Letter to the Editor

Adenocarcinoma of the Ileocecal Valve Occurring 35 Years After Jejunoileal Bypass

Authors: Karole Davis, MD, Marko Markov, MD, Beata Jasiurkowski, MD, Jyotsna Ravi, MD, Prahladbhai Patel, MD, Ross Levater, MD, Abdul Nadir, MD, Julius Rodriguez, MD, David H. Van Thiel, MD

Abstract

To the Editor:


We are reporting a case of colon cancer that occurred 35 years after a jejunoileal bypass (JIB) and resulted in chronic intestinal obstruction. The JIB procedure was used to promote weight loss, but complications have limited its utilization.1 Colonic dysplasia and tubulovillous adenomas have been reported after JIB.2,3

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References

1.Deitel M, Shikora SA. The development of the surgical treatment of morbid obesity. J Am Coll Nutr 2002;21:365–371.
 
2.McFarland RJ, Talbot RW, Woolf N, et al. Dysplasia of the colon after jejuno-ileal bypass. Br J Surg 1987;74:21–22.
 
3.Sylvan A, Sjolund B, Janunger KG, et al. Colorectal cancer risk after jejunoileal bypass: dysplasia and DNA content in longtime follow-up of patients operated on for morbid obesity. Dis Colon Rectum 1992;35:245–248.
 
4.McFarland RJ, Gazet JC, Pilkington TR. A 13-year review of jejunoileal bypass. Br J Surg 1985;72:81–87.
 
5.Burton JR Jr, Katon R. Anterograde colonoscopy: per oral diagnosis of colon cancer with an enteroscope in a man with a jejunoileal bypass. Gastrointest Endosc 2003;57:982–983.
 
6.Bristol JB, Wells M, Williamson RC. Adaptation to jejunoileal bypass promotes experimental colorectal carcinogenesis. Br J Surg 1984;71:123–126.
 
7.Voss S, Russell T. Carcinoma as a possible complication of jejunoileal bypass operation. West J Med 1984;141:686–687.
 
8.Mason E. Development of gastric bypass and gastroplasty. Surgical management of obesity. 1980:20–29.