Diffuse juvenile polyposis: management by ileoendorectal pull-through.
Two children with diffuse juvenile polyposis were managed by ileoendorectal pull-through. The procedure was more difficult and time-consuming because each stalk in the rectum had a well established blood supply, thus causing bleeding, and because it was difficult to manipulate the mucosal sleeve, as the polyps obstructed the lumen. Both children had satisfactory long-term results after reconstruction with an isoperistaltic pouch. I believe that in cases of diffuse juvenile polyposis, proctoscopic removal of all of the rectal polyps two to three weeks before the definitive procedure may greatly facilitate it.
Golladay
E S
ES
Department of Surgery, University of Arkansas for Medical Sciences, Little Rock.
D000293:Adolescent; D002648:Child; D003082:Colectomy; D003111:Colonic Polyps / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D003113:Colonoscopy; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007081:Ileostomy; D007082:Ileum / Q000601:surgery*; D008297:Male; D008722:Methods; D012007:Rectum / Q000601:surgery*; D012008:Recurrence