Challenging management of familial adenomatous polyposis with advanced colorectal cancer: laparoscopic partial resection and cold snare polypectomy

Background and study aims Prophylactic extended colectomy may be indicated because most surgically untreated patients with familial adenomatous polyposis (FAP) develop colorectal cancer (CRC) in their lifetime. However, some patients refuse to undergo surgery to avoid degradation of their quality of...

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Main Authors: Shota Akabane, Hiroaki Suda, Hirokazu Iijima, Yukari Kobayashi, Kazunao Watanabe
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2019-01-01
Series:Endoscopy International Open
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/a-0677-1845
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author Shota Akabane
Hiroaki Suda
Hirokazu Iijima
Yukari Kobayashi
Kazunao Watanabe
author_facet Shota Akabane
Hiroaki Suda
Hirokazu Iijima
Yukari Kobayashi
Kazunao Watanabe
author_sort Shota Akabane
collection DOAJ
description Background and study aims Prophylactic extended colectomy may be indicated because most surgically untreated patients with familial adenomatous polyposis (FAP) develop colorectal cancer (CRC) in their lifetime. However, some patients refuse to undergo surgery to avoid degradation of their quality of life. We report that FAP is controllable with laparoscopic partial resection and postoperative polypectomy even when complicated by advanced CRC. We also discuss the utility of cold snare polypectomy for resection of polyps.
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spelling doaj.art-67640f331e9c4465b2b28ec58f2461f12022-12-22T01:38:17ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362019-01-010701E49E5210.1055/a-0677-1845Challenging management of familial adenomatous polyposis with advanced colorectal cancer: laparoscopic partial resection and cold snare polypectomyShota Akabane0Hiroaki Suda1Hirokazu Iijima2Yukari Kobayashi3Kazunao Watanabe4Department of General Surgery, Tokyo-Nishi Tokushukai Hospital, Akishima, Tokyo, JapanDepartment of Gastroenterology, Tokyo-Nishi Tokushukai Hospital, Akishima, Tokyo, JapanDepartment of General Surgery, Tokyo-Nishi Tokushukai Hospital, Akishima, Tokyo, JapanDepartment of General Surgery, Tokyo-Nishi Tokushukai Hospital, Akishima, Tokyo, JapanDepartment of General Surgery, Tokyo-Nishi Tokushukai Hospital, Akishima, Tokyo, JapanBackground and study aims Prophylactic extended colectomy may be indicated because most surgically untreated patients with familial adenomatous polyposis (FAP) develop colorectal cancer (CRC) in their lifetime. However, some patients refuse to undergo surgery to avoid degradation of their quality of life. We report that FAP is controllable with laparoscopic partial resection and postoperative polypectomy even when complicated by advanced CRC. We also discuss the utility of cold snare polypectomy for resection of polyps.http://www.thieme-connect.de/DOI/DOI?10.1055/a-0677-1845
spellingShingle Shota Akabane
Hiroaki Suda
Hirokazu Iijima
Yukari Kobayashi
Kazunao Watanabe
Challenging management of familial adenomatous polyposis with advanced colorectal cancer: laparoscopic partial resection and cold snare polypectomy
Endoscopy International Open
title Challenging management of familial adenomatous polyposis with advanced colorectal cancer: laparoscopic partial resection and cold snare polypectomy
title_full Challenging management of familial adenomatous polyposis with advanced colorectal cancer: laparoscopic partial resection and cold snare polypectomy
title_fullStr Challenging management of familial adenomatous polyposis with advanced colorectal cancer: laparoscopic partial resection and cold snare polypectomy
title_full_unstemmed Challenging management of familial adenomatous polyposis with advanced colorectal cancer: laparoscopic partial resection and cold snare polypectomy
title_short Challenging management of familial adenomatous polyposis with advanced colorectal cancer: laparoscopic partial resection and cold snare polypectomy
title_sort challenging management of familial adenomatous polyposis with advanced colorectal cancer laparoscopic partial resection and cold snare polypectomy
url http://www.thieme-connect.de/DOI/DOI?10.1055/a-0677-1845
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