Original communication| Volume 24, ISSUE 2, P188-211, August 1948

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Polyposis (adenomatosis) of the colon

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      The features distinguishing polyposis of the colon as a disease entity are its tendency to occur in certain families, the diffuse involvement of the colon with polyps, and the propensity of the lesions early to undergo malignant change. It can be differentiated from the more frequent occurrence of isolated polps, cancer, and inflammatory diseases of the colon and rectum by a careful history, stool examinations, sigmoidoscopy, and roentgenologic study after barium and air enemas.
      Cure of polyposis depends upon its recognition as a disease entity and its differentiation from other diseases before surgical management is planned. Failure to do this may result in inadequate treatment. Surgery should be directed toward either total ablation of the large bowel or total colectomy and ileosigmoid (ileorectal) anastomosis combined with fulguration of polyps in the preserved segment.
      An analysis of the thirty-five cases presented in which operation was done points to factors to be considered in both the choice of the method to be used and the chronology of the stages employed.
      Early recognition of the disease and the increased amount of surgery that can be performed in one stage because of modern therapeutic adjuncts to intestinal surgery combine to give an improved prognosis in polyposis of the colon.
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