Familial adenomatous polyposis surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Surgery is the mainstay of treatment for familial adenomatous polyposis. The preferred surgery technique is laparoscopic total proctocolectomy with ileal pouch anal anastomosis (IPAA) with a mucosectomy and anal anastomosis. | Surgery is the mainstay of treatment for familial adenomatous polyposis. The preferred surgery technique is laparoscopic total proctocolectomy with ileal pouch anal anastomosis (IPAA) with a mucosectomy and anal anastomosis. | ||
==Indications== | |||
*Patients who develop high-grade dysplasia or invasive adenocarcinoma on colonoscopy, they should undergo proctocolectomy. | |||
==Surgery== | ==Surgery== | ||
* Surgery is the mainstay of treatment for familial adenomatous polyposis. | * Surgery is the mainstay of treatment for familial adenomatous polyposis. | ||
Revision as of 20:25, 29 January 2018
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Familial adenomatous polyposis Microchapters |
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Differentiating Familial adenomatous polyposis from other Diseases |
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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. The preferred surgery technique is laparoscopic total proctocolectomy with ileal pouch anal anastomosis (IPAA) with a mucosectomy and anal anastomosis.
Indications
- Patients who develop high-grade dysplasia or invasive adenocarcinoma on colonoscopy, they should undergo proctocolectomy.
Surgery
- Surgery is the mainstay of treatment for familial adenomatous polyposis.
- There are several surgical options that involve the removal of either the colon or both the colon and rectum.
- The preferred surgical technique is:
- Laparoscopic total proctocolectomy with ileal pouch anal anastomosis (IPAA) with a mucosectomy and anal anastomosis 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) with a mucosectomy and anal anastomosis which has:[1]
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References
- ↑ 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.