What are the indications for colon resection (colectomy) in patients with familial adenomatous polyposis (FAP)?

Updated: Apr 05, 2021
  • Author: David E Stein, MD, MHCM; Chief Editor: Vikram Kate, FRCS, MS, MBBS, PhD, FACS, FACG, FRCS(Edin), FRCS(Glasg), FIMSA, MAMS, MASCRS, FFST(Ed)  more...
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Answer

Patients with familial adenomatous polyposis (FAP) develop hundreds to thousands of noncancerous polyps in the colon as early as their teenage years. [7] These polyps are premalignant and will develop into cancer. The average age at which an individual with FAP develops colon cancer is 39 years. [14] Thus, these patients may choose to undergo prophylactic colectomy.


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