Rectocolic familial polyposis; a study of 32 cases

Thirty‐two cases of diffuse rectocolic polyposis, with a more or less marked hereditary character, have been analyzed. The homogeneity of the series, derived from the same surgical source and with the cooperation of a genetics department for the familial survey and detection, allowed precise observa...

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Bibliographic Details
Published in:World journal of surgery 1981-07, Vol.5 (4), p.617-625
Main Authors: Bigay, D., Plauchu, H., Berard, Ph, Robert, J. M., Guillemin, G.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Assure
Colectomy
Colonic Neoplasms - genetics
Colonic Neoplasms - surgery
Familial Polyposis
Female
Follow-Up Studies
Genetic Department
Humans
Intestinal Polyps - genetics
Intestinal Polyps - surgery
Male
Middle Aged
Precise Observation
Public Health
Rectal Neoplasms - genetics
Rectal Neoplasms - surgery
Rectum - surgery
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Summary:Thirty‐two cases of diffuse rectocolic polyposis, with a more or less marked hereditary character, have been analyzed. The homogeneity of the series, derived from the same surgical source and with the cooperation of a genetics department for the familial survey and detection, allowed precise observations on the evolution and treatment of the disease. Besides the imperative indications for removal of the rectum in those cases determined by endoscopy to be either locally degenerate or uncontrollable, a surgical protocol designed to meet more precisely the diagnostic needs must be developed, based on the preservation of the rectum and resulting in its unlimited supervision. Résumé Analyse de 32 cas de polypose rectocolique, dont le caractère hériditaire est plus ou moins marqué. Des observations précises sur l'évolution et le traitement de la maladie ont été possibles, grâce à l'homogénéité du groupe de malades tous suivis dans le mÊme centre chirurgical et grâce à la coopération du départment de génétique pour la surveillance familiale et la détection des cas. L'amputation de rectum est obligatoire dans les cas de cancérisation locale et dans les formes non controlables par l'endoscopie. Mais, dans un programme de détection précoce, il faut prévoir un protocole thérapeutique chirurgical qui conserve le rectum et assure sa surveillance pendant la vie entière du malade.
ISSN:0364-2313
1432-2323
DOI:10.1007/BF01655018