title: Juvenile polyposis syndrome.
abstract: OBJECTIVE
  Report of a series of 12 cases of juvenile polyposis coli.
  
  
  METHODS
  The study period was from 1995 to 2005. All the patients were treated by total colectomy with rectal mucosectomy and endorectal ileoanal pullthrough with or without ileal pouch formation. Covering ileostomy was avoided in all the cases. Time taken for the surgery, postoperative complications and continence were documented.
  
  
  RESULTS
  The mean operating time was 4.2 h (range: 4-5 h). The mean duration of hospital stay was 16.3 days (range: 15-18 days). The most common postoperative complication was pouchitis and perianal excoriation. Initially, all the patients were passing stools at an interval of 2 h, and after 3 weeks, the frequency has reduced to 6-8 stools per day. In the follow-up after 3 months, the frequency was 3-5 per day with minimal soiling.
  
  
  CONCLUSIONS
  Single-stage total colectomy with rectal mucosectomy and endorectal ileoanal pull-through without covering ileostomy and pouch formation is a safe and definitive treatment for juvenile polyposis coli if the patient selection is appropriate.
authors.affiliation: Department of Pediatric Surgery, IMS, BHU, Varanasi, India.
authors.forename: Vijai D
authors.initials: VD
authors.lastname: Upadhyaya
authors.forename: A N
authors.initials: AN
authors.lastname: Gangopadhyaya
authors.forename: S P
authors.initials: SP
authors.lastname: Sharma
authors.forename: S C
authors.initials: SC
authors.lastname: Gopal
authors.forename: D K
authors.initials: DK
authors.lastname: Gupta
authors.forename: Vijayendra
authors.initials: V
authors.lastname: Kumar