Familial adenomatous polyposis surgery: Difference between revisions
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==Overview== | ==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) | [[Surgery]] is the mainstay of treatment for familial adenomatous polyposis. The preferred [[surgery]] technique is [[Laparoscopic surgery|laparoscopic]] total [[proctocolectomy]] with ileal pouch anal [[anastomosis]] (IPAA) and mucosectomy. | ||
==Indications== | ==Indications== | ||
*Surgery is recommended in patients with:<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><ref name="pmid10630758">{{cite journal |vauthors=King JE, Dozois RR, Lindor NM, Ahlquist DA |title=Care of patients and their families with familial adenomatous polyposis |journal=Mayo Clin. Proc. |volume=75 |issue=1 |pages=57–67 |year=2000 |pmid=10630758 |doi=10.4065/75.1.57 |url=}}</ref> | *Surgery is recommended in patients with:<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><ref name="pmid10630758">{{cite journal |vauthors=King JE, Dozois RR, Lindor NM, Ahlquist DA |title=Care of patients and their families with familial adenomatous polyposis |journal=Mayo Clin. Proc. |volume=75 |issue=1 |pages=57–67 |year=2000 |pmid=10630758 |doi=10.4065/75.1.57 |url=}}</ref> | ||
**Diffuse polyposis | **Diffuse [[Polyp|polyposis]] | ||
**High-grade dysplasia on colonoscopy | **High-grade [[dysplasia]] on [[colonoscopy]] | ||
**Invasive adenocarcinoma on colonoscopy | **Invasive [[adenocarcinoma]] on [[colonoscopy]] | ||
==Surgery== | ==Surgery== | ||
* Surgery is the mainstay of treatment for familial adenomatous polyposis | * [[Surgery]] is the mainstay of treatment for familial adenomatous polyposis. | ||
* The preferred surgical technique is: | * The preferred surgical technique is: | ||
** Laparoscopic total proctocolectomy with ileal pouch anal anastomosis (IPAA) | ** Laparoscopic total proctocolectomy with ileal pouch anal anastomosis (IPAA) and mucosectomy which has:<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> | ||
*** Good patient satisfaction | *** Good patient satisfaction | ||
*** Excellent functional outcome | *** Excellent functional outcome | ||
*** Few postoperative complications | *** Few postoperative complications | ||
*** No colorectal occurrence or recurrence | *** No [[Colon (anatomy)|colorectal]] occurrence or recurrence | ||
{{#ev:youtube|bDXsdaZl9hQ}} | {{#ev:youtube|bDXsdaZl9hQ}} | ||
* Other surgical techniques include: | * Other surgical techniques include: | ||
** Total colectomy with ileorectal anastomosis | ** Total [[colectomy]] with ileorectal [[anastomosis]] | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 17:03, 31 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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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) and mucosectomy.
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.
- The preferred surgical technique is:
- Laparoscopic total proctocolectomy with ileal pouch anal anastomosis (IPAA) and mucosectomy 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) and mucosectomy 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.