Implicazioni chirurgiche della poliposi familiare del colon (PFC)

Translated title of the contribution: Modern trends in surgical treatment of familial polyposis syndrome (FPS)

G. Fratino, P. Buffa, G. Mattioli, B. Parodi, V. Jasonni

Research output: Contribution to journalArticle

Abstract

Surgical treatment of familial congenital polyposis (FCP) is deemed necessary as soon as diagnosis is obtained. The goals of any surgical procedure must be: - removal of all adenomatous tissue, - reliable prophylaxis of cancer, - good quality of life. Among the different procedures (proctocolectomy with ileostomy, total colectomy with ileo-rectal anastomosis and postoperative endoscopic surveillance, ileo-rectal pull-through) we consider Soave ileo-endorectal pull-through as the treatment of choice. Between 1974 and 1993, 14 patients, 12 to 40 pears old, underwent an ileo-endorectal pull-through (in 4 cases as secondary procedure after ileo-rectal anastomosis performed elsewhere). We had only two major complications, ileal perforation in one case and breakdown of ileo-rectal anastomosis in another case that needed permanent ileostomy. Continence is good in all patients (safe for the one with ileostomy) with an average of three bowel movements per day. Prophylaxis of cancer must be considered complete and permanent without need of surveillance.

Translated title of the contributionModern trends in surgical treatment of familial polyposis syndrome (FPS)
Original languageItalian
Pages (from-to)919-924
Number of pages6
JournalMinerva Chirurgica
Volume51
Issue number11
Publication statusPublished - 1996

ASJC Scopus subject areas

  • Surgery

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    Fratino, G., Buffa, P., Mattioli, G., Parodi, B., & Jasonni, V. (1996). Implicazioni chirurgiche della poliposi familiare del colon (PFC). Minerva Chirurgica, 51(11), 919-924.