Diffuse juvenile polyposis: management by ileoendorectal pull-through.

Two children with diffuse juvenile polyposis were managed by ileoendorectal pull-through. The procedure was more difficult and time-consuming because each stalk in the rectum had a well established blood supply, thus causing bleeding, and because it was difficult to manipulate the mucosal sleeve, as the polyps obstructed the lumen. Both children had satisfactory long-term results after reconstruction with an isoperistaltic pouch. I believe that in cases of diffuse juvenile polyposis, proctoscopic removal of all of the rectal polyps two to three weeks before the definitive procedure may greatly facilitate it.