1987 Volume 40 Issue 6 Pages 721-733
The current policy most widely accepted for management of adenomatosis coli is colectomy and ileorectal anastomosis. There was, however, occurrence of cancer in the retained rectum in 13 % of the cases during 10 years follow up in Japanese series and life long follow up on these cases is practically impossible in the usual clinical setting. As one of the responces to this problem, the practical procedure for proctocolectomy and ileoanal anastomosis has been investigated and our method with a J-ileal pouch was found to yield the functional result comparable to that of the ileorectal anastomosis with a technical complexity similar to the continent abdominal ileostomy. Ileoanal anastomosis can be justified in the selected case.
Management of cancer in the organs other than the large bowel will be important issue to be studied.
