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Pouch polyposis after ileal pouch-anal anastomosis for familial adenomatous polyposis

Report of a case

  • Case Reports
  • Published:
Diseases of the Colon & Rectum

Abstract

PURPOSE: A case of a patient with familial adenomatous polyposis (FAP) is reported, in whom adenomas developed in an ileal pelvic pouch six years after it was made. This case is reported to serve as a warning that restorative proctocolectomy, a relatively recent addition to surgical options for FAP, does not remove the risk of metachronous intestinal neoplasia; it merely defers it. METHODS: Case of a patient with pouch polyposis was reviewed, and patient was prospectively studied after three months of sulindac therapy. RESULTS: Polyps not removed at first examination became much less prominent. Literature review reveals only one study of adenomas in pelvic pouches, with 7 cases of 38. CONCLUSION: Proctocolectomy and ileal pouch-anal anastomosis does not cure FAP, and multiple polyps can occur in the ileal pouch.

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Authors and Affiliations

  1. David G. Jagelman Center for Inherited Colorectal Cancer, Cleveland Clinic Foundation, Cleveland, Ohio

    James M. Church M.D., John R. Oakley M.D. & James S. Wu M.D.

Authors
  1. James M. Church M.D.
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  2. John R. Oakley M.D.
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  3. James S. Wu M.D.
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Church, J.M., Oakley, J.R. & Wu, J.S. Pouch polyposis after ileal pouch-anal anastomosis for familial adenomatous polyposis. Dis Colon Rectum 39, 584–586 (1996). https://doi.org/10.1007/BF02058717

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  • DOI: https://doi.org/10.1007/BF02058717

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