| Sumario: | The development of adenocarcinoma at an ileostomy site is an extremely uncommon and late complication that can occur for people living with a permanent ileostomy. Predominantly it is found in individuals who had their stoma surgery for ulcerative colitis, familial adenomatous polyposis or Crohn's disease, at an average time of 27 years after the stoma was created. There have only been 70 reported cases in the literature worldwide, most of these in the last 20 years. The extended latent period for the adenocarcinoma to occur from time of stoma creation could help explain this increase in incidence. The exact cause of this malignancy is not clear but it has been suggested that factors such as chronic mechanical and chemical irritation from stoma appliances, disease predisposition, malignant transformation of adenomas, changes in bacterial flora and Ileitis/backwash ileitis, could contribute to their development. Primary adenocarcinoma at an ileostomy has been reported in the literature by surgeons and medical practitioners. Despite this, there remains limited information on the care and management from key stakeholders such as stomal therapy nurses, when caring for a people living with a permanent ileostomy. This article provides a different understanding and description from the perspective of a stomal therapy nurse, describing two cases of primary adenocarcinoma at the ileostomy site.
|
|---|