Familial adenomatous polyposis surgery: Difference between revisions
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*** No colorectal occurrence or recurrence | *** No colorectal occurrence or recurrence | ||
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* Other surgical techniques include: | |||
** Total colectomy with ileorectal anastomosis | |||
==References== | ==References== | ||
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Revision as of 16:43, 30 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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Diagnosis |
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Treatment |
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Case Studies |
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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] 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
- Surgery is recommended in patients with:[1][2]
- Diffuse polyposis
- High-grade dysplasia on colonoscopy
- Invasive adenocarcinoma on colonoscopy
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]
{{#ev:youtube|bDXsdaZl9hQ}}
- Other surgical techniques include:
- Total colectomy with ileorectal anastomosis
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.
- ↑ King JE, Dozois RR, Lindor NM, Ahlquist DA (2000). "Care of patients and their families with familial adenomatous polyposis". Mayo Clin. Proc. 75 (1): 57–67. doi:10.4065/75.1.57. PMID 10630758.