Summary
Definition
History and exam
Key diagnostic factors
- family history of FAP/attenuated FAP
- teenager
- onset of colorectal cancer in middle age
- bilateral pigmentation of the retina
Other diagnostic factors
- constipation/diarrhea
- hematochezia
- features of Gardner variant FAP
Diagnostic investigations
1st investigations to order
- colonoscopy
- extended-side-viewing esophagogastroduodenoscopy
Investigations to consider
- genetic testing for adenomatous polyposis coli (APC) gene mutations
- abdominal imaging with CT or MRI
Treatment algorithm
Contributors
Authors
Colorectal Surgeon
Colon and Rectal Surgery, Inc
Associate Clinical Professor of Surgery
Creighton University School of Medicine
Clinical Professor of Surgery
University of Nebraska College of Medicine
Omaha
NE
Disclosures
CAT declares that he has no competing interests.
Clinical Professor of Surgery
Colon and Rectal Surgery
Creighton University School of Medicine
University of Nebraska College of Medicine
Omaha
NE
Disclosures
AGT declares that he has no competing interests.
Dr Charles A. Ternent and Dr Alan G. Thorson would like to gratefully acknowledge Dr Lisa A. Boardman and Dr Douglas L. Riegert-Johnson, the previous contributors to this monograph. LAB and DLRJ declare that they have no competing interests.
Peer reviewers
Professor of General Surgery
Department of Digestive Surgery
Hopital Saint-Antoine
Universite Pierre et Marie Curie Paris VI
Paris
France
Disclosures
YP declares that he has no competing interests.
Editorial Board
Allgemein- und Viszeralchirurgie
St Josefs-Hospital Bochum-Linden
Dusseldorf
Germany
Disclosures
GM declares that she has no competing interests.
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