Familial adenomatous polyposis surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2], Mohamad Alkateb, MBBCh [3]
Overview
Surgery is the mainstay of treatment for familial adenomatous polyposis (FAP). The preferred surgery technique is laparoscopic total proctocolectomy with ileal pouch anal anastomosis (IPAA) and mucosectomy. Another technique is total colectomy with ileorectal anastomosis.
Indications
Surgery is recommended in patients with FAP who present with:[1][2]
- Diffuse polyposis
- High-grade dysplasia on colonoscopy
- Invasive adenocarcinoma on colonoscopy
Surgery
Surgery is the mainstay of treatment for familial adenomatous polyposis.
- The preferred surgical technique for FAP is:
- Laparoscopic total proctocolectomy with ileal pouch anal anastomosis (IPAA) and mucosectomy which has:[1]
- Good patient satisfaction
- Excellent functional outcome
- Few postoperative complications
- No colorectal occurrence or recurrence
- Laparoscopic total proctocolectomy with ileal pouch anal anastomosis (IPAA) and mucosectomy which has:[1]
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- Other surgical techniques include:
- Total colectomy with ileorectal anastomosis
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References
- ↑ 1.0 1.1 Kennedy, Raelene D.; Potter, D. Dean; Moir, Christopher R.; El-Youssef, Mounif (2014). "The natural history of familial adenomatous polyposis syndrome: A 24year review of a single center experience in screening, diagnosis, and outcomes". Journal of Pediatric Surgery. 49 (1): 82–86. doi:10.1016/j.jpedsurg.2013.09.033. ISSN 0022-3468.
- ↑ King JE, Dozois RR, Lindor NM, Ahlquist DA (2000). "Care of patients and their families with familial adenomatous polyposis". Mayo Clin. Proc. 75 (1): 57–67. doi:10.4065/75.1.57. PMID 10630758.