The Surgical Management of Familial Adenomatous Polyposis in Northern Ireland
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Sixty-eight patients from 18 families have been identified as having familial adenomatous polyposis during the past 30 years in Northern Ireland (population 1.5 million). Six of the 18 probands (33%) had developed colonic carcinoma when first seen at mean age 34 years. Ten of the 44 patients identified by surgical screening (21%) at a significantly lower mean age of 23 years had colonic carcinoma. Surgical management has generally been by subtotal colectomy with ileorectal anastomosis, or by panproctocolectomy and ileostomy.
Results of national registration of familial adenomatous polyposis.
Bulow S Gut. 2003; 52(5):742-6.
PMID: 12692062 PMC: 1773626. DOI: 10.1136/gut.52.5.742.