Outcomes of subtotal proctocolectomy for familial adenomatous polyposis: A follow-up study of 21 clinical cases / 第二军医大学学报
Academic Journal of Second Military Medical University
;
(12): 367-369, 2006.
Article
in Chinese
| WPRIM
| ID: wpr-841439
ABSTRACT
Objective:
To evaluate the short- and long-term outcomes of subtotal proctocolectomy for familial adenomatous polyposis (FAP).Methods:
Twenty-one FAP patients who had undergone subtotal proctocolectomy during 1985-2000 in our department were followed up colonoscopically to observe whether there was any recurrence of polyps in postoperatively residual colon or/and rectum.Results:
Adenomatous recurrence with variant degrees was detected in the residual colon or/and rectum in all 21 patients, the recurrence rate being 100%. Polypous growth was denser in the residual rectum than in the proximal residual colon. The adenomatous polyp in one patient cancerized 4 years after the initial operation. The cumulative occurrence of colorectal cancer was 4.8%.Conclusion:
Subtotal proctocolectomy is a simple procedure for FAP with fewer complications, but there is a risk of polyps cancerization in the residual colon or/and rectum.
Full text:
Available
Index:
WPRIM (Western Pacific)
Type of study:
Observational study
/
Prognostic study
Language:
Chinese
Journal:
Academic Journal of Second Military Medical University
Year:
2006
Type:
Article
Similar
MEDLINE
...
LILACS
LIS