| Theme | Recent advance in diagnosis and management of hereditary colorectal cancer | |
|---|---|---|
| Title | Familial adenomatous polyposis -- Surveillance and operation for colon and rectum | |
| Publish Date | 2013/10 | |
| Author | Masashi Ueno | Department of Gastroenterological Surgery, Japanese Foundation for Cancer Research |
| Author | Takashi Akiyoshi | Department of Gastroenterological Surgery, Japanese Foundation for Cancer Research |
| Author | Tsuyoshi Konishi | Department of Gastroenterological Surgery, Japanese Foundation for Cancer Research |
| Author | Yoshiya Fujimoto | Department of Gastroenterological Surgery, Japanese Foundation for Cancer Research |
| Author | Satoshi Nagayama | Department of Gastroenterological Surgery, Japanese Foundation for Cancer Research |
| Author | Yousuke Fukunaga | Department of Gastroenterological Surgery, Japanese Foundation for Cancer Research |
| Author | Toshiya Nagasaki | Department of Gastroenterological Surgery, Japanese Foundation for Cancer Research |
| Author | Toshiharu Yamaguchi | Department of Gastroenterological Surgery, Japanese Foundation for Cancer Research |
| Author | Tetsuichirou Muto | Department of Gastroenterological Surgery, Japanese Foundation for Cancer Research |
| [ Summary ] | Surveillance colonoscopy should be conducted every two years until the onset of adenoma and every year after that. This should be done beginning in the early teens for classical FAP and late teens for attenuated FAP. When prophylactic colectomies must be planned, choosing IRA or IPAA while considering phenotype, genotype, age and desire for a child of FAP patients. Recent reports have demonstrated the safety and effectiveness of laparoscopic IPAA for FAP treatment. | |