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Different surgical strategies in the treatment of familial adenomatous polyposis: what's the role of the ileal pouch-anal anastomosis?

par Leonard, Daniel ;Wolthuis, Albert M;D'Hoore, André;Bruyninx, Luc ;Van De Stadt, Jean ;Van Cutsem, Eric;Kartheuser, Alex
Référence Acta gastro-enterologica Belgica (Ed. multilingue), 74, 3, page (427-434)
Publication Publié, 2011-09

Article révisé par les pairs

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Résumé :

Restorative coloproctectomy (RCP) with ileal pouch-anal anastomosis (IPAA), is one of the surgical responses to the crucial question of prophylactic treatment in familial adenomatous polyposis (FAP). No consensus has been reached, until now, to choose between IPAA and ileo-rectal anastomosis (IRA), the rectal sparing prophylactic colectomy. This paper aims to review the latest issues related to IPAA and highlights its specificities compared to IRA.