0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Preservation of Rectum in Familial Polyposis of the Colon and Rectum

SHERMAN T. COLEMAN, M.D.; CHARLES ECKERT, M.D.
AMA Arch Surg. 1956;73(4):635-644. doi:10.1001/archsurg.1956.01280040091011.
Text Size: A A A
Published online

The operative procedure to be used for familial polyposis of the colon should be selected mainly on the bases of the extent of involvement of the mucous membrane at the time treatment is instituted, the apparent rate of progression of the disease, and the presence or absence of cancer. Familial polyposis is usually progressive. New polyps form, and in any one of them cancer may evolve. The ordinarily progressive nature of the disease has dictated the belief that total colectomy with proctectomy is the only means of freeing the patient from the risk of cancer. The surgical management of polyposis of the colon up to 1948 was thoroughly reviewed by Hoxworth and Slaughter1 and will not be repeated. Ravitch * showed that satisfactory bowel function followed anastomosis between the terminal ileum and the anus, thereby permitting total coloproctectomy to be accomplished without abdominal ileostomy. Best4 has used this operation

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();