Dispelling misconceptions in the management of familial adenomatous polyposis

被引：17

作者：

Chittleborough, Timothy J. ^{[1
,2
]}

Warrier, Satish K. ^{[1
,3
]}

Heriot, Alexander G. ^{[1
,2
]}

Kalady, Matthew ^{[4
,5
]}

Church, James ^{[4
,5
]}

机构：

[1] Peter MacCallum Canc Ctr, Dept Canc Surg, Locked Bag 1,ABeckett St, Melbourne, Vic 8006, Australia

[2] Univ Melbourne, Dept Surg, Melbourne, Vic, Australia

[3] Alfred Hlth, Dept Colorectal Surg, Melbourne, Vic, Australia

[4] Cleveland Clin, Digest Dis & Surg Inst, Dept Colorectal Surg, Cleveland, OH 44106 USA

[5] Cleveland Clin, Sanford R Weiss MD Ctr Hereditary Colorectal Neop, Cleveland, OH 44106 USA

来源：

ANZ JOURNAL OF SURGERY | 2017年 / 87卷 / 06期

关键词：

colorectal surgery; familial adenomatous polyposis; total proctocolectomy; POUCH-ANAL ANASTOMOSIS; STAPLED ILEAL POUCH; DESMOID TUMORS; ILEORECTAL ANASTOMOSIS; RESTORATIVE PROCTOCOLECTOMY; ABDOMINAL COLECTOMY; RECTAL-CANCER; RISK-FACTORS; APC; GENOTYPE;

D O I：

10.1111/ans.13919

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Patients with familial adenomatous polyposis require surgical intervention at some point in their lives. The diagnosis is often apparent from their phenotype and family history, however, this is not always the case. Many factors can influence the surgical strategy although the polyposis burden and distribution remain the main consideration. While prophylactic removal of the rectum and colon is often required, sparing the rectum at the index surgery is safe in select patients. This article aims to dispel misconceptions in the diagnosis and treatment of patients with familial adenomatous polyposis.

引用

页码：441 / 445

页数：5

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