Familial adenomatous polyposis surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Surgery is the mainstay of treatment for familial adenomatous polyposis. | |||
==Surgery== | ==Surgery== | ||
* Treatment for FAP depends on the genotype. Most individuals with the APC mutation will develop colon cancer by the age of 40. | * Treatment for FAP depends on the genotype. Most individuals with the APC mutation will develop colon cancer by the age of 40. | ||
* | * Prophylatic surgery is generally recommended before the age of 25. | ||
* There are several surgical options that involve the removal of either the colon or both the [[colon]] and [[rectum]]. | * There are several surgical options that involve the removal of either the colon or both the [[colon]] and [[rectum]]. | ||
* The decision to remove the rectum depends on the number of polyps in the rectum as well as the family history. | * The decision to remove the rectum depends on the number of polyps in the rectum as well as the family history. | ||
* If the rectum has few polyps, the colon is removed and the small bowel ([[ileum]]) is connected to the rectum (ileorectal anastomosis). | * If the rectum has few polyps, the colon is removed and the small bowel ([[ileum]]) is connected to the rectum (ileorectal anastomosis). | ||
* If the rectum is involved then the colon and rectum are removed and | * If the rectum is involved then the colon and rectum are removed and the patient may require an [[ileostomy]] or have an ileoanal pouch reconstruction. | ||
==References== | ==References== | ||
Revision as of 14:15, 3 September 2015
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Familial adenomatous polyposis Microchapters |
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Differentiating Familial adenomatous polyposis from other Diseases |
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Familial adenomatous polyposis surgery On the Web |
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American Roentgen Ray Society Images of Familial adenomatous polyposis surgery |
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Directions to Hospitals Treating Familial adenomatous polyposis |
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Risk calculators and risk factors for Familial adenomatous polyposis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Surgery is the mainstay of treatment for familial adenomatous polyposis.
Surgery
- Treatment for FAP depends on the genotype. Most individuals with the APC mutation will develop colon cancer by the age of 40.
- Prophylatic surgery is generally recommended before the age of 25.
- There are several surgical options that involve the removal of either the colon or both the colon and rectum.
- The decision to remove the rectum depends on the number of polyps in the rectum as well as the family history.
- If the rectum has few polyps, the colon is removed and the small bowel (ileum) is connected to the rectum (ileorectal anastomosis).
- If the rectum is involved then the colon and rectum are removed and the patient may require an ileostomy or have an ileoanal pouch reconstruction.