مؤشر جراحة القولون والمستقيم الوقائية في داء FAP: 5 أورام غدية شرجية أو أقل وأقل من 500 ورم غدي قولوني

References

• IRA may be offered to: Patients with 5 or fewer rectal adenomas and less than 500 colonic adenomas.
• 5 or fewer rectal adenomas AND fewer than 500 colonic adenomas.
• Secondary proctectomy should be considered when polyposis is no longer conservatively manageable or in the presence of two or more polyps with HGD.
• If they are not manageable or meet the criteria indicating proctocolectomy, a surgical approach with secondary proctectomy should be considered and discussed with the patient.

DOI: 10.1093/bjs/znae263