Rectal Stump Control after Subtotal Colectomy and Ileorectal Anastomosis

It is advised that a rectoscopy be conducted every 6 months and eventually to remove polyp remnants by means of laser, fulguration, photocoagulation or transanal microsurgery. Lifetime surveillance of the rectal stump is crucial, as showed in authors from Ankara [32]. They report a local recurrence 19 years after IRA. There are some optimistic reports [33] that colectomy with IRA in FAP is associated with a significant reduction in rectal mucosal cell proliferation. These findings claim reduced risk of rectal cancer following this procedure in FAP and are of relevance to the study of environmental versus genetic control of cell proliferation.

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