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Cancer Development in the Remained Rectum after Subtotal Colectomy in a Familial Adenomatous Polyposis Patient

대한대장항문학회지 1998년 14권 3호 p.635 ~ 641
임대식 ( Lim Dae-Sik ) - 고신대학교 의과대학 외과학교실

최승호 ( Choi Seung-Ho ) - 고신대학교 의과대학 외과학교실
안병권 ( Ahn Byung-Kwon ) - 고신대학교 의과대학 외과학교실
백승언 ( Baek Sung-Uhn ) - 고신대학교 의과대학 외과학교실


Familial adenomatous polyposis (FAP) is an hereditary autosomal dominant disease characterized by development of hundreds to thousands of adenomatous polyps in the colon and rectum. The common symptoms are bloody stool, diarrhea, and abdominal pain. The average age at onset of symptoms is 33 years. Because of inevitable progression to malignancy, it is necessary to remove the entire colonic and rectal mucosa. Current surgical options are total proctocolectomy with permanent ileostomy, trans-abdominal colectomy with ileorectal anastomosis (IRA), and restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA). Recently IPAA can give optimum control of colorectal polyposis in FAP patients with an acceptable incidence of postoperative complications and satisfactory functional results. We experienced one case of FAP who had malignacy in the remained rectum after subtotal colectomy. IPAA was done and the result was satisfactory.


FAP;Remained rectum;Malignancy
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