Abstract
In July 1970 the patient underwent colectomy and ileorectal anastomosis for the treatment of familial adenomatous polyposis (FAP). At follow up, villous adenomata had been removed by diathermy snare on 10 occasions. The surgeon supervising the follow up referred her in 1994 for a restorative proctocolectomy, since he was concerned about future malignant change in the rectum. Flexible sigmoidoscopy identified the ileorectal anastomosis (IRA) at 20cm and multiple flat polyps in the rectum. No obvious carcinoma was identified on endoscopy or digital examination. Operation was advised to anticipate the onset of carcinoma.
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Bussey HJ, Eyers AA, Ritchie SM, Thomson JP. The rectum in adenomatous polyposis: the St Mark’s policy. Br. J. Surg. 1985;72:S29–S31.
Church J, Burke C, McGannon E, Pastean O, Clark B. Risk of rectal cancer in patients after colectomy and ileorectal anastomosis for familial adenomatous polyposis. Dis. Colon Rectum 2003;46:1175–1181.
De Cosse JJ, Bülow S, Neale K, Järvinen H, Alms T, Hultcrantz R, Moesgaard F, Costello C. Rectal risk in patients treated for familial adenomatous polyposis. Br. J. Surg. 1992;79:1372–1375.
Bess MA, Adson MA, Elveback LR, Moertel CG. Rectal cancer following colectomy for polyposis. Arch. Surg. 1980;115:460–467.
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© 2006 Springer Science+Business Media, Inc.
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(2006). Ileorectal Anastomosis for FAP: Rectal Cancer. In: Colorectal Surgery. Springer, New York, NY. https://doi.org/10.1007/0-387-36941-4_20
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DOI: https://doi.org/10.1007/0-387-36941-4_20
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