Outcomes of subtotal proctocolectomy for familial adenomatous polyposis: a follow-up study of 21 clinical cases
- VernacularTitle:次全大肠切除术治疗家族性腺瘤性息肉病21例疗效随访
- Author:
Enda YU
;
Xiaodong XU
;
Ronggui MENG
- Publication Type:Journal Article
- Keywords:
adenomatous polyposis coli;
subtotal proctocolectomy;
treatment outcome
- From:
Academic Journal of Second Military Medical University
1981;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the short-and long-term outcomes of subtotal proctocolectomy for familial adenomatous polyposis(FAP).Methods: Twenty-one FAP patients who had undergone subtotal proctocolectomy during 1985-2000 in our department were followed up colonoscopically to observe whether there was any recurrence of polyps in postoperatively residual colon or/and rectum.Results: Adenomatous recurrence with variant degrees was detected in the residual colon or/and rectum in all 21 patients,the recurrence rate being 100%.Polypous growth was denser in the residual rectum than in the proximal residual colon.The adenomatous polyp in one patient cancerized 4 years after the initial operation.The cumulative occurrence of colorectal cancer was 4.8%.Conclusion: Subtotal proctocolectomy is a simple procedure for FAP with fewer complications,but there is a risk of polyps cancerization in the residual colon or/and rectum.
