Could Total Colectomy with Ileorectal Anastomosis Be an Alternative to Total Proctocolectomy with Ileal Pouch-Anal Anastomosis in Selected Ulcerative Colitis Patients?
Table 2
Characteristics of the UC patients with dysplasia or cancer arisen after IRA.
Patient number
Age at IRA
Years from UC diagnosis at IRA
Dysplasia or cancer at colectomy
Regular endoscopic surveillance
Years from IRA to reoperation
Stage
Type of surgery at reoperation
Follow-up from reoperation
1
48
12
—
Yes
13
HGD
IPAA
Alive at 15 yrs
2
35
8
—
Yes
9
HGD
IPAA
Alive at 7 yrs
3
44
21
T2N0
Yes
1
HGD
IPAA
Alive at 5 yrs
4
60
17
HGD
No
12
T3N0
TP + I
Dead after 9 yrs, unrelated causes
5
45
9
—
No
11
T4N1
IPAA
Alive at 5 yrs
6
62
14
HGD
No
13
T3N1
IPAA
Dead after 12 yrs, hepatic Mtx
7
42
10
HGD
No
9
T4N0
TP + I
Dead after 8 yrs, pulmonary Mtx
HGD: high-grade dysplasia; IPAA: ileal pouch-anal anastomosis; TP + I: total proctectomy and terminal ileostomy; Mtx: metastases.