Familial adenomatous polyposis surgery

Familial adenomatous polyposis Microchapters
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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.

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:
    • Good patient satisfaction
    • Excellent functional outcome
    • Few postoperative complications
    • No colorectal occurrence or recurrence

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