In the beginning there was colectomy: current surgical options in familial adenomatous polyposis.
Multiple colonic polyps, almost guaranteed colorectal cancer by the age of forty-five and an increased risk of non-colonic cancers characterise the autosomal dominant condition Familial Adenomatous Polyposis (FAP) 1. The patients and families faced with such a diagnosis present many difficult management challenges, both surgical and non-surgical. We discuss the current surgical options for treatment of the more significant manifestations of FAP arising in the colorectum and duodenum as well as desmoid disease.
Discipline of Surgical Science, University of Newcastle, Australia. allan.spigelman@newcastle.edu.au.
Daniel R
DR
McGrath
Allan D
AD
Spigelman