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KMID : 0359019950150040775
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Korean Journal of Gastrointestinal Endoscopy
1995 Volume.15 No. 4 p.775 ~ p.782
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A Case of Familial Adenomatous Polyposis(FAP)with A Large Sentinel Polyp
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류완희
이병현/임성희/곽재용/김대곤/안득수/김종훈/이동근
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Abstract
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Familial adenomatous polyposis(FAP) is a rare hereditary disorder characterized by the development of hundreds to thounds polyps throughout the colon and rectum. Moreover, several extracolonic manifestations are seen. Recently, this disease is
recognized as adenomatous polyposis syndrome which can involve the entire gastrointestinal tract. Several reports have demonstrated high incidence of gastroduodenal polyps in patients with familial adenomatous polyposis. These colon polyps can be
eventually developed as colon cancer, if not be treated. So early diagnosis is needed and prophylactic surgery should be performed. We experienced a case of familial adenomatous polyposis with a large sentinel polyp on the sigmoid colon,
presenting
hematochezia and mucoid diarrhea. He was early treated before progression to carcinoma by total colectomy, rectal mucosectomy and J pouch ileoanal anastomosis. (Kor J Gastrointest Endosc 15: 775~782. 1995)
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