Surgical treatment of familial adenomatous polyposis: ileoretal anastomosis or restorative proctolectomy?

Campos, Fábio Guilherme; Perez, Rodrigo Oliva; Imperiale, Antônio Rocco; Seid, Víctor Edmond; Nahas, Sérgio Carlos; Cecconello, Ivan

doi:10.1590/s0004-28032009000400009

Cited by 14 publications

(9 citation statements)

References 32 publications

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“…With the increasing incidence of Clostridium difficile colitis and the emergence of more virulent strains [4], subtotal colectomy has become a more common emergent procedure with a mortality rate ranging from 30% to 80% [4]. While we were unable to identify diagnosis as an independent predictor of mortality, it can be assumed from previous studies that subtotal or total colectomy for familial adenomatous polyposis or ulcerative colitis with dysplasia has a much lower 30-d mortality rate than it does in patients with a fulminant infectious colitis or toxic megacolon [4,17,38,39]. Thus, it may be more appropriate to look at subtotal colectomy as predictor of mortality in urgent or emergent cases rather than elective procedures.…”

Section: Risk Factors For Mortality After Colectomymentioning

confidence: 84%

A Review of Factors that Affect Mortality Following Colectomy

Klima¹,

Brintzenhoff²,

Agee³

et al. 2012

Journal of Surgical Research

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Section: Risk Factors For Mortality After Colectomymentioning

confidence: 84%

A Review of Factors that Affect Mortality Following Colectomy

Klima¹,

Brintzenhoff²,

Agee³

et al. 2012

Journal of Surgical Research

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“…Long-term follow-up after IRA revealed that 24–43% of patients develop cancer in the remaining rectum [ 116 , 117 ]. During a 20-year period after IRA, the rectum had to be resected in 10% of patients with AFAP, 39% of patients with sparse FAP, and 61% of patients with severe FAP [ 118 ].…”

Section: Commentsmentioning

confidence: 99%

Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2020 for the Clinical Practice of Hereditary Colorectal Cancer

et al. 2021

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Hereditary colorectal cancer (HCRC) accounts for < 5% of all colorectal cancer cases. Some of the unique characteristics commonly encountered in HCRC cases include early age of onset, synchronous/metachronous cancer occurrence, and multiple cancers in other organs. These characteristics necessitate different management approaches, including diagnosis, treatment or surveillance, from sporadic colorectal cancer management. There are two representative HCRC, named familial adenomatous polyposis and Lynch syndrome. Other than these two HCRC syndromes, related disorders have also been reported. Several guidelines for hereditary disorders have already been published worldwide. In Japan, the first guideline for HCRC was prepared by the Japanese Society for Cancer of the Colon and Rectum (JSCCR), published in 2012 and revised in 2016. This revised version of the guideline was immediately translated into English and published in 2017. Since then, several new findings and novel disease concepts related to HCRC have been discovered. The currently diagnosed HCRC rate in daily clinical practice is relatively low; however, this is predicted to increase in the era of cancer genomic medicine, with the advancement of cancer multi-gene panel testing or whole genome testing, among others. Under these circumstances, the JSCCR guidelines 2020 for HCRC were prepared by consensus among members of the JSCCR HCRC Guideline Committee, based on a careful review of the evidence retrieved from literature searches, and considering the medical health insurance system and actual clinical practice settings in Japan. Herein, we present the English version of the JSCCR guidelines 2020 for HCRC.

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“…Long-term follow-up after IRA has revealed that 24-43% of patients develop cancer in the remaining rectum 75,76) . During a 20-year period after IRA, the rectum had to be resected in 10% of patients with AFAP, 39% of patients with sparse FAP, and 61% of patients with profuse FAP 37) .…”

Section: Cq9: How Should the Risk Of Rectal Cancer Development Be Manmentioning

confidence: 99%

Japanese Society for Cancer of the Colon and Rectum (JSCCR) Guidelines 2016 for the Clinical Practice of Hereditary Colorectal Cancer (Translated Version)

Ishida

Yamaguchi

Tanakaya

et al. 2018

J Anus Rectum Colon

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Hereditary colorectal cancer accounts for less than 5% of all colorectal cancer cases. Some of the unique characteristics that are commonly encountered in cases of hereditary colorectal cancer include early age at onset, synchronous/metachronous occurrence of the cancer, and association with multiple cancers in other organs, necessitating different management from sporadic colorectal cancer. While the diagnosis of familial adenomatous polyposis might be easy because usually 100 or more adenomas that develop in the colonic mucosa are in this condition, Lynch syndrome, which is the most commonly associated disease with hereditary colorectal cancer, is often missed in daily medical practice because of its relatively poorly defined clinical characteristics. In addition, the disease concept and diagnostic criteria for Lynch syndrome, which was once called hereditary non‐polyposis colorectal cancer, have changed over time with continual research, thereby possibly creating confusion in clinical practice. Under these circumstances, the JSCCR Guideline Committee has developed the “JSCCR Guidelines 2016 for the Clinical Practice of Hereditary Colorectal Cancer (HCRC)," to allow delivery of appropriate medical care in daily practice to patients with familial adenomatous polyposis, Lynch syndrome, or other related diseases. The JSCCR Guidelines 2016 for HCRC were prepared by consensus reached among members of the JSCCR Guideline Committee, based on a careful review of the evidence retrieved from literature searches, and considering the medical health insurance system and actual clinical practice settings in Japan. Herein, we present the English version of the JSCCR Guidelines 2016 for HCRC.

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Surgical treatment of familial adenomatous polyposis: ileoretal anastomosis or restorative proctolectomy?

Cited by 14 publications

References 32 publications

A Review of Factors that Affect Mortality Following Colectomy

A Review of Factors that Affect Mortality Following Colectomy

Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2020 for the Clinical Practice of Hereditary Colorectal Cancer

Japanese Society for Cancer of the Colon and Rectum (JSCCR) Guidelines 2016 for the Clinical Practice of Hereditary Colorectal Cancer (Translated Version)

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