SURGICAL OPTIONS FOR FAMILIAL ADENOMATOUS POLYPOSIS

被引:6
作者
AMBROZE, WL [1 ]
ORANGIO, GR [1 ]
LUCAS, G [1 ]
机构
[1] GEORGIA BAPTIST MEM MED CTR,MED COLL GEORGIA,DEPT SURG,ATLANTA,GA
来源
SEMINARS IN SURGICAL ONCOLOGY | 1995年 / 11卷 / 06期
关键词
FAMILIAL ADENOMATOUS POLYPOSIS; PROCTOCOLECTOMY; ILEOSTOMY; ILEORECTAL ANASTOMOSIS; OPTIONS; INDICATIONS;
D O I
10.1002/ssu.2980110610
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Familial adenomatous polyposis (FAP) is a genetic disorder transmitted in an autosomal dominant pattern. One-half of members of an affected family will carry the gene, and all carriers will succumb to colon cancer or extracolonic manifestations if not detected and treated early. When the diagnosis is made, surgery is indicated. Surgical options include total proctocolectomy with ileostomy, continent ileostomy, total colectomy with ileorectal anastomosis, and total proctocolectomy with deal pouch anal anastomosis. Many diverse factors, such as extent of rectal disease, the presence and extent of carcinoma, sphincter function, and extracolonic disease, influence which surgical procedure is most appropriate for the individual patient with FAP. This article reviews the surgical options for treating FAP, with emphasis on specific indications, contraindications, and anticipated outcomes. (C) 1995 Wiley-Liss, Inc.
引用
收藏
页码:423 / 427
页数:5
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