Multistage Rectal Polypectomy: An Alternative to Proctectomy in Patients With Familial Adenomatous Polyposis.
Adenomatous Polyposis Coli
/ diagnosis
Adult
Anastomosis, Surgical
/ methods
Colorectal Neoplasms
/ prevention & control
Humans
Male
Polyps
/ diagnosis
Proctectomy
/ classification
Proctocolectomy, Restorative
/ adverse effects
Rectal Neoplasms
/ pathology
Rectum
/ pathology
Safety
Treatment Outcome
Young Adult
Journal
Diseases of the colon and rectum
ISSN: 1530-0358
Titre abrégé: Dis Colon Rectum
Pays: United States
ID NLM: 0372764
Informations de publication
Date de publication:
01 07 2021
01 07 2021
Historique:
pubmed:
20
4
2021
medline:
15
10
2021
entrez:
19
4
2021
Statut:
ppublish
Résumé
When patients with familial adenomatous polyposis have a severely affected rectum, it is usually assumed that endoscopic control is impossible or unwise. The standard approach is proctectomy with either an end ileostomy or an IPAA. Here we show that application of aggressive, multistage snare polypectomy to this situation can be effective and allow the patient to avoid surgery, at least in the short term. Standard polypectomy using snare excision with coagulation is used, taking 2 or 3 sessions, and beginning with the largest polyps. The procedures are performed with the patient under general anesthesia. Endoscopic mucosal resection technique with fluid injection to lift polyps is not necessary. Complete control of the rectal polyps, sustained for at least 2 years, is possible without functional sequelas. Patients with familial adenomatous polyposis with severe rectal polyposis can be offered multistage rectal polypectomy and safely avoid proctectomy.
Identifiants
pubmed: 33872285
doi: 10.1097/DCR.0000000000002030
pii: 00003453-202107000-00020
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e391-e394Informations de copyright
Copyright © The ASCRS 2021.
Références
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