Familial adenomatous polyposis surgery: Difference between revisions
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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== | ==Indications== | ||
*Patients who develop high-grade dysplasia or invasive adenocarcinoma on colonoscopy, they should undergo proctocolectomy. | *Patients who develop high-grade dysplasia or invasive adenocarcinoma on colonoscopy, they should undergo proctocolectomy.<ref name="KennedyPotter2014">{{cite journal|last1=Kennedy|first1=Raelene D.|last2=Potter|first2=D. Dean|last3=Moir|first3=Christopher R.|last4=El-Youssef|first4=Mounif|title=The natural history of familial adenomatous polyposis syndrome: A 24year review of a single center experience in screening, diagnosis, and outcomes|journal=Journal of Pediatric Surgery|volume=49|issue=1|year=2014|pages=82–86|issn=00223468|doi=10.1016/j.jpedsurg.2013.09.033}}</ref> | ||
==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 20:26, 29 January 2018
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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.[1]
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
- ↑ 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.