-Original-

Tumor Screening, Incidence, and Treatment for Patients with Severe Motor and Intellectual Disabilities

Kei Ishimaru¹, Satoshi Akita¹, Shunji Matsuda², Shungo Yukumi³, Masamitsu Morimoto³, Chiya Kikuchi², Sayuri Matsui⁴, Kazufumi Tanigawa⁴, Jun Kuwabara⁴, Hironori Matsumoto⁴, Satoshi Kikuchi⁴, Motohira Yoshida⁴, Shigehiro Koga⁴ and Yuji Watanabe⁴

¹Department of Minimally Invasive Gastroenterology, Ehime University Graduate School of Medicine, Ehime, Japan
²Department of Pediatrics, National Hospital Organization Ehime Hospital, Ehime, Japan
³Department of Surgery, National Hospital Organization Ehime Hospital, Ehime, Japan
⁴Department of Gastrointestinal Surgery and Surgical Oncology, Ehime University Graduate School of Medicine, Ehime, Japan

Background: The increasing age of patients with severe motor and intellectual disabilities (SMID) has become a serious concern. Few studies have investigated tumor treatment in this population.
Methods: Tumor treatments for 12 SMID patients were examined.
Results: Blood tests and ultrasonography were useful for screening. With regard to treatment, surgery for SMID patients was performed in the same manner as for patients without SMID, and the results were generally satisfactory, without major complications. Typically, cancer was diagnosed at an advanced stage, and many metachronous double cancers were observed.
Conclusions: Treatment yielded satisfactory results for patients with SMID and their families. Future studies should examine the clinical significance of screening and tumor operative method for patients with SMID.

J Nippon Med Sch 2022; 89: 212-214

Keywords
severe motor and intellectual disabilities, tumor, surgery, intestinal paralysis, bowel motility

Correspondence to
Kei Ishimaru, Department of Gastrointestinal Surgery and Surgical Oncology, Ehime University Graduate School of Medicine, Shitsukawa, Toon, Ehime 790-0295, Japan
kei.ishimaru@gmail.com

Received, March 10, 2021
Accepted, June 11, 2021