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 o...

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Autores principales: Akabane, Shota, Suda, Hiroaki, Iijima, Hirokazu, Kobayashi, Yukari, Watanabe, Kazunao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: © Georg Thieme Verlag KG 2019
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327744/
https://www.ncbi.nlm.nih.gov/pubmed/30648139
http://dx.doi.org/10.1055/a-0677-1845
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author Akabane, Shota
Suda, Hiroaki
Iijima, Hirokazu
Kobayashi, Yukari
Watanabe, Kazunao
author_facet Akabane, Shota
Suda, Hiroaki
Iijima, Hirokazu
Kobayashi, Yukari
Watanabe, Kazunao
author_sort Akabane, Shota
collection PubMed
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 pubmed-63277442019-01-15 Challenging management of familial adenomatous polyposis with advanced colorectal cancer: laparoscopic partial resection and cold snare polypectomy Akabane, Shota Suda, Hiroaki Iijima, Hirokazu Kobayashi, Yukari Watanabe, Kazunao Endosc Int Open 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. © Georg Thieme Verlag KG 2019-01 2019-01-03 /pmc/articles/PMC6327744/ /pubmed/30648139 http://dx.doi.org/10.1055/a-0677-1845 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Akabane, Shota
Suda, Hiroaki
Iijima, Hirokazu
Kobayashi, Yukari
Watanabe, Kazunao
Challenging management of familial adenomatous polyposis with advanced colorectal cancer: laparoscopic partial resection and cold snare polypectomy
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 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327744/
https://www.ncbi.nlm.nih.gov/pubmed/30648139
http://dx.doi.org/10.1055/a-0677-1845
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