This paper is only available as a PDF. To read, Please Download here.
Abstract
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.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- The Hereditary Factor in Polyposis Intestine, or Multiple Adenomata.Cancer Rev. 1930; 5: 241-256
- Disseminated Polyposis of Colon; New Surgical Treatment in Selected Cases.J. A. M. A. 1936; 107: 342-348
- Familial Adenomotosis of Colon and Rectum; Relationship to Carcinoma.Lancet. 1939; 2: 586-589
- Polyps of the Large Intestine.Surg., Gynec. & Obst. 1931; 52: 1136-1150
- Polypi of the Intestine.Brit. J. Surg. 1927; 15: 99-119
- Causation and Treatment of Multiple Adenomatosis.Ann. Surg. 1934; 99: 178-184
- Total Colectomy; Its Indication and Technic.Ann. Surg. 1931; 94: 677-704
- Colectomy for Adenomatosis and Pseudopolyposis; 5 Additional Cases.Ann. Surg. 1935; 102: 707-723
- Multiple Polyposis, Familial Disease.Ann. Surg. 1937; 105: 511-515
- Colectomy for Multiple Polyposis; 3 Cases.Tr. Am. Proct. Soc. 1937; 38: 202-209
- Surgical Treatment of Polyposis.S. Clin. North America. 1939; 19: 1135-1139
- Colectomy for Polyposis of Colon.Clinics. 1944; 3: 1066-1071
- Polyposis.Lahey Clin. Bull. 1945; 4: 130-133
- Congenital or Hereditary Polyposis.Ann. Surg. 1945; 122: 606-624
- Multiple Polypoid Disease of the Colon and Rectum.Ann. Surg. 1945; 121: 88-99
- Total Colectomy for Polyposis With Carcinomatosis Degeneration With a Note on Postoperative Care.Surgery. 1945; 17: 630-634
- Familial Polyposis of the Colon.Surgery. 1947; 22: 286-304
- Multiple Polyposis of the Colon.in: Paper presented at the Central Surgical Association, Chicago, Ill.Feb. 21, 1947
- Multiple Polyposis of the Colon With Malignant Change Involving Colon and Appendix.Ann. Surg. 1947; 126: 262-269
Article info
Footnotes
☆Read at the meeting of the Society of University Surgeon, New Orleans, La., Jan. 29 to 31, 1948.
Identification
Copyright
© 1948 Published by Elsevier Inc.
