Buturovic Sead
General hospital Konjic, Konjic, Bosnia and Herzegovina.
Med Arch. 2014 Jun;68(3):221-2. doi: 10.5455/medarh.2014.68.221-222. Epub 2014 May 31.
Familial adenomatous polyposis (FAP) is a rare autosomal, dominant hereditary disease, which affects both sexes equally (1-10). FAP accounts for less than 1% of all colon cancers and is estimated to occur in one of 8,300 live births. It is characterized by numerous adenomas scattered throughout mucosa of the colon and rectum.
The patient is a 62 years old man, admitted at the Surgical Department of the General Hospital in Konjic on May 18 2010 with gastrointestinal problems including: hard stool, often splattered with fresh blood, irregular and that causes the patient a lot of problems. The final diagnosis was median laparatomy supra et infraumibilicalis. Exploratio cavi abdominalis. Colectomy totalis et ileo-recto anastomosis TT cum staypler (33Ch). Loop ileostomy. Drainage cavi abdominalis N I (uno). Early postoperative course was generally regular. Control laboratory findings show the reference value. After ten days of hospitalization, the patient was discharged on the home recovery, with practically given instructions for care and use of stoma bags. For the secondary surgery was planned ileostomy closure, and regular post-operative endoscopic control.
Most of the listed surgical intervention in case of FAP treatment localized in the colon can be performed by open (classic), or laparoscopic methods. Duration of postoperative stay in the hospital depends on the patient's general condition and the type of performed surgery. It is usually about 7 days. After hospital treatment, recovery at home is from 4-6 weeks. Patients can usually return to work or school 6-8 weeks after surgery. After surgery, patients lives will be completely normal. Sexual and social activities remain the same, while either procedure does not affect the ability of a man or woman to have offspring.
家族性腺瘤性息肉病（FAP）是一种罕见的常染色体显性遗传性疾病，男女发病率相同（1 - 10）。FAP在所有结肠癌中占比不到1%，据估计每8300例活产中会有1例发病。其特征是结肠和直肠黏膜上散在着大量腺瘤。
患者为一名62岁男性，于2010年5月18日因胃肠道问题入住科尼茨综合医院外科，这些问题包括：大便干结，常带有鲜血，排便不规律，给患者带来诸多困扰。最终诊断为经脐上下正中剖腹术。腹腔探查。全结肠切除术及回肠 - 直肠端端吻合术（33Ch），使用吻合器。回肠袢式造口术。腹腔引流（1根）。术后早期病程总体正常。实验室检查结果显示在参考值范围内。住院十天后，患者出院回家康复，并得到了关于造口袋护理和使用的实际指导。计划进行二次手术关闭回肠造口，并进行定期的术后内镜检查。
FAP治疗中多数涉及结肠的手术干预可通过开放（经典）或腹腔镜方法进行。术后住院时间取决于患者的一般状况和所施行手术的类型。通常约为7天。出院后在家恢复需要4 - 6周。患者通常在术后6 - 8周可返回工作或学校。手术后，患者的生活将完全正常。性活动和社交活动保持不变，且两种手术方式均不影响男性或女性的生育能力。
