title: Mucosectomy and stapled pouch-anal anastomosis in familial adenomatous polyposis.
abstract: OBJECTIVE
  In familial adenomatous polyposis, a restorative proctocolectomy with an ileo-anal pouch may be performed either with a mucosectomy and a hand-sewn anastomosis or as a stapled anastomosis without a mucosectomy. The disadvantage of the former is suboptimal bowel function and the disadvantage of the latter is a high risk of recurrent adenomas in the rectal mucosal remnant.
  
  
  METHODS
  A procedure is presented that combines the advantages of mucosectomy and stapled ileo-anal anastomosis.
  
  
  RESULTS
  No severe complications were seen in 14 patients. After a median follow up of 29 (range 7-144) months, 13 (93%) patients were fully continent day and night with a median frequency of defecation of 5 (range 2-8)/24 h. No adenomas were found at the annual endoscopic follow up.
  
  
  CONCLUSIONS
  Mucosectomy with a stapled ileo-anal pouch has few complications. Short-term results show good function and a very low risk of recurrent adenoma development.
authors.affiliation: The Danish Polyposis Register, Department of Surgery, Hvidovre University Hospital, Copenhagen, Denmark. sbulow@dadlnet.dk
authors.forename: S
authors.initials: S
authors.lastname: Bülow
mesh_terms: D011125:Adenomatous Polyposis Coli / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007413:Intestinal Mucosa / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D016737:Proctocolectomy, Restorative; D017792:Surgical Stapling; D016896:Treatment Outcome