1. Surgical management of familial polyposis and Gardner's syndrome.
- Author
-
Gingold BS, Jagelman D, and Turnbull RB
- Subjects
- Adenocarcinoma prevention & control, Adenocarcinoma surgery, Colectomy, Colonic Neoplasms prevention & control, Colonic Neoplasms surgery, Follow-Up Studies, Humans, Intestinal Polyps surgery, Neoplasms, Multiple Primary prevention & control, Neoplasms, Multiple Primary surgery, Rectal Neoplasms prevention & control, Rectal Neoplasms surgery, Colonic Neoplasms genetics, Intestinal Polyps genetics, Rectal Neoplasms genetics
- Abstract
Twenty-six patients with documented familial polyposis or Gardner's syndrome were followed up to twenty-eight years after total colectomy with ileorectal anastomosis. All patients were followed a minimum of five years. Patients were subjected to periodic proctosigmoidoscopies, and rectal polyps were electrocoagulated when found. In no patient in this series did an adenocarcinoma of the rectum develop during the follow-up period. Total abdominal colectomy with ileorectal anastomosis is the treatment of choice in patients with familial polyposis and Gardner's syndrome, provided adequate follow-up is assured and polyps are destroyed when encountered.
- Published
- 1979
- Full Text
- View/download PDF