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Colorectal Cancer Surgical Emergencies in Patients with Inflammatory Bowel Disease

  • Niccolò Petrucciani
  • Nicola de’Angelis
  • Federica Gaiani
  • Francesco BrunettiEmail author
Chapter
Part of the Hot Topics in Acute Care Surgery and Trauma book series (HTACST)

Abstract

Inflammatory bowel diseases (IBDs) represent a well-known risk factor for the development of colorectal cancer. Even if screening programs are available for patients with IBDs to allow early detection of dysplastic and tumoral lesions, non-observant patients or those with no previous diagnosis of IBD may present with complex clinical scenarios of complicated colorectal cancer on IBD and may require emergency surgical treatment. The extent of the colitis, the gender (relative risk higher in males), the severity of inflammation (histological activity of the disease), a family history of sporadic colorectal cancer, and coexistent primary sclerosing cholangitis are risk factors for CRC in patients with IBDs. Complications of CRC requiring emergency management in patients with IBDs include bowel obstruction, colic perforation, or lower gastrointestinal bleeding. The emergency treatment of complications of CRC on IBD has three main objectives: treatment of the emergency condition, which may impact short-term prognosis, treatment of CRC, and management of IBD. The aim of this chapter is to discuss the incidence on colorectal cancer in IBDs patients, to examine the potential causes of emergency colorectal surgery in this setting, and to discuss treatment strategies in the light of the recent literature.

Keywords

Colorectal cancer Inflammatory bowel disease Complications Surgical emergency Laparoscopy 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Niccolò Petrucciani
    • 1
    • 2
  • Nicola de’Angelis
    • 3
    • 2
  • Federica Gaiani
    • 4
  • Francesco Brunetti
    • 3
    Email author
  1. 1.Service of Digestive, Hepato-Pancreato-Biliary Surgery and Liver TransplantationHenri Mondor Hospital, AP-HPCreteilFrance
  2. 2.University of Paris Est, UPECCreteilFrance
  3. 3.Service of Digestive, Hepato-Pancreato-Biliary Surgery and Liver Transplantation, Unit of Minimally Invasive and Robotic SurgeryHenri Mondor Hospital, AP-HPCréteilFrance
  4. 4.Gastroenterology and Endoscopy Unit, University Hospital of ParmaUniversity of ParmaParmaItaly

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