A case report of adenomatosis coli after surgery for preservation of ano-rectal function.

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A 38-year-old man presented with a chief complaint of bloody stool. The patient's older brother had contracted rectal cancer with colon polyposis. Barium enema was performed, revealing non-clustered polyposis of the colon and the case was diagnosed as adenomatosis coli. As the patient was operating a bean curd-manufacturing business, his high frequency of postoperative defecation was extremely inconvenient from the viewpoint of his profession and sanitation, and hence a total of 3 operations and 34 endoscopic polypectomies were conducted with the aim of maximum retention of anorcctal function. Fifteen years after sugey, as the age of 53 years, his present defecation function is satisfactory, the patient is healthy and able to conduct his normal business, Close observation of the residual colon is being performed and there are no polyps at present.<BR>Several problems exist in the treatment of adenomatosis coli, and radical therapy cannot be performed easily. The rate of cancer advance, site of onset and social backgro-und factors recessitake careful oservation and selection of an optimal mode of surgery for individual cases.
日本大腸肛門病学会の論文