Abstract
PURPOSE: This study was designed to estimate the efficiency of the various methods used to treat familial adenomatous polyposis coli. METHODS: Three hundred ninety patients (219 males) underwent surgery for familial adenomatous polyposis coli; postoperative follow-up was from 1 to 30 years. RESULTS: Coloproctectomy with preservation of the anal sphincter and coloproctectomy with ileoanal pull-through procedures resulted in development of anal canal cancer in 3 (4.1 percent) of 74 patients. Follow-up revealed development of cancer in the large bowel in 26 (10.7 percent) of 242 patients, in whom colectomy with preservation of various colonic segments was performed. CONCLUSIONS: The occurrence rate of cancer is not significantly related to patients' gender, age, length of preserved colonic segment, presence of cancer in the removed colonic segment, or postoperative follow-up period; however, presence of polyps in the colonic segments preserved during surgery significantly increased the risk of development of cancer at a later time.
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Nikitin, A.M., Obukhov, V.K., Chubarov, Y.Y. et al. Results of a thirty-year study of familial adenomatous polyposis coli. Dis Colon Rectum 40, 679–684 (1997). https://doi.org/10.1007/BF02140897
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DOI: https://doi.org/10.1007/BF02140897