Familial adenomatous polyposis surgery: Difference between revisions

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Revision as of 20:03, 29 January 2018

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamad Alkateb, MBBCh [2]

Surgery is the mainstay of treatment for familial adenomatous polyposis.

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 surgery technique is:
- Laparoscopic total proctocolectomy with ileal pouch anal anastomosis (IPAA) with a mucosectomy and hand sewn anal anastomosis

@@ Line 7: / Line 7: @@
 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.
+* 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 decision to remove the rectum depends on the number of polyps in the rectum as well as the family history.
+* The preferred surgery technique is:
-* If the rectum has few polyps, the colon is removed and the small bowel ([[ileum]]) is connected to the rectum (ileorectal anastomosis).
+** Laparoscopic total proctocolectomy with ileal pouch anal anastomosis (IPAA) with a mucosectomy and hand sewn anal 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.
 ==References==