Summary
Familial polyposis is inherited and usually develops at puberty. In all patients, cancer will eventually develop. The objective of therapy is to prevent malignancy. A pedigree chart should be constructed and all family members investigated.
Total colectomy with permanent ileostomy and fulguration of all rectal polyps, followed by colectomy with preservation of the rectum and ileostomy, are the two forms of surgery available. The rectal stump must be followed carefully. Operation should be undertaken in the latter half of the second decade of life, or shortly thereafter.
Similar content being viewed by others
References
Cattel, R. B.: Surgical treatment of ulcerative colitis. Postgrad. Med.14: 221, 1953.
Cripps, W. H.: Two cases of disseminated polyposis of the rectum. Tr. Path. Soc. London.33: 165, 1882.
Dockerty, M. B.: Pathologic aspects in the control of spread of colonic carcinoma. Proc. Staff Meet. Mayo Clin.33: 157, 1958.
Dukes, C. E.: Cancer control in familial polyposis of the colon. Dis. Col. & Rectum.I: 413, 1958.
Everson, T. C. and M. J. Allen: Subtotal colectomy with ileosigmoidoscopy and fulguration of polyps in retained colon: Evaluation as method of treatment of polyposis (adenomatosis) of colon. A.M.A. Arch. Surg.69: 806, 1954.
Hubbard, T. B., Jr.: Familial polyposis of the colon: The fate of the retained rectum after colectomy in children. Am. Surgeon.23: 577, 1957.
Author information
Authors and Affiliations
Additional information
Abridgement of original article read at the joint meeting of the American Proctologic Society and the Section of Proctology of the Royal Society of Medicine, Philadelphia, Pennsylvania, May 9 to 14, 1964.
About this article
Cite this article
Saltz, N.J. Surgical management of familial polyposis of the colon and rectum. Dis Colon Rectum 7, 417–420 (1964). https://doi.org/10.1007/BF02616858
Issue Date:
DOI: https://doi.org/10.1007/BF02616858