AIMS Restorative proctocolectomy with ileoanal anastomosis is one of the treatments of choice for patients suffering from familial adenomatous polyposis (FAP). However, any residual rectal mucosa left behind after mucosectomy is at risk for the development of neoplasia. CASE REPORT A 31 year old male patient with FAP underwent restorative proctocolectomy with a pelvic ileal pouch-anal anastom...

CONTEXT Controversy regarding the best operative choice for familial adenomatous polyposis lays between the morbidity of restorative proctocolectomy and the supposed mortality due to rectal cancer after ileorectal anastomosis. OBJECTIVES To evaluate operative complications and oncological outcome after ileorectal anastomosis and restorative proctocolectomy. METHODS Charts from patients trea...

The other mode of treating these patients are subtotal colectomy with ileorectal anastomosis alongwith regular follow up with proctoscopy for development of cancer in retained rectal mucosa(3,7). Recently, Stevan et al. (8) utilized laproscope for total proctocolectomy as well as ileoanal anostomosis while others performed ileopouch anal anastomosis alongwith total proctocolectomy(9,10). Thus t...

Body composition was measured in 24 patients who had previously undergone proctocolectomy and ileostomy. One group (control group) had undergone resection of only small amounts of terminal ileum (median 4 cm), the other group of patients (resected group) had undergone resection of greater lengths of small bowel (median 54 cm). These values of body composition were then compared with predicted v...

background: familial adenomatous polyposis (fap) is a well-known entity for specialistrnand it has near 100% chance of malignant changes if does not managed surgically. in orderrnto reduce the disadvantages of laparatomy and diverting ileostomy we present ourrnresults of laparoscopic total proctocolectomy without diverting ileostomy.rnobjectives: the aim of this study was to present the results...

Familial adenomatous polyposis ia an autosomal dominant disorder that is responsible for 0.5% of all colorectal cancer. Patients will develop hundreds to thousands of colonic polyp in their second decades of life. The life time risk of developing colorectal cancer is 100% at the median age of 39 years. Extra intestinal manifestations are rare and mostly are benign. Family history of colorectal ...

Familial adenomatous polyposis (FAP) is an inherited disease characterized by the development of hundreds of colorectal adenomas, leading to a 100% lifetime risk of colorectal cancer. A prophylactic colectomy is recommended for patients with FAP to prevent colorectal cancer. Four surgical strategies are available for patients with FAP: proctocolectomy with permanent ileostomy, colectomy with il...

Koyama, Kaori, Iwao Sasaki, Hiroo Naito, Yuji Funayama, Kouhei Fukushima, Michiaki Unno, Seiki Matsuno, Hisayoshi Hayashi, and Yuichi Suzuki. Induction of epithelial Na1 channel in rat ileum after proctocolectomy. Am. J. Physiol. 276 (Gastrointest. Liver Physiol. 39): G975– G984, 1999.—In patients with colectomy, epithelial transport function in the remnant small intestine can be regulated in r...

INTRODUCTION Perineal hernia may be a long-term complication to conventional abdominoperineal resection or proctocolectomy. We analysed the incidence of post-operative perineal hernia repair and described patient-reported outcome measures (PROMS) after perineal hernia repair. METHODS This was a nationwide retrospective analysis of consecutive Danish patients undergoing conventional abdominope...

BACKGROUND As in ulcerative colitis, there is an increased incidence of colorectal carcinoma in Crohn's disease. While carcinoma formation originating from ano-rectal fistulas is generally considered as a rare event there are different publications reporting on mucinous adenocarcinoma formation in association with a neovagina and rectovaginal fistulas. To the best of our knowledge this is the f...