Preservation of Rectum in Familial Polyposis of the Colon and Rectum

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


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





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.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


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

Sign In to Access Full Content

Related Content

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