[size=20px]Which of these statements is correct regarding patients with suspected familial adenomatous polyposis (FAP)?

 

A Screening sigmoidoscopy or colonoscopy should be performed between the ages of 15-25 years.

 

B Surveillance colonoscopy is required every 1-2 years.

 

C Proctocolectomy with ileal pouch-anal anastomosis has the same long-term rate of rectal cuff cancer compared to total colectomy and ileorectal anastomosis.

 

D Second degree relatives should undergo genetic screening for FAP.

 

E FAP is associated with increased risk of stomach, breast, and uterine cancer.[/size]

a

correct answer

A Screening sigmoidoscopy or colonoscopy should be performed between the ages of 15-25 years.

 

Patients with FAP should undergo surveillance colonoscopies every 1-2 years. Even after surgery, there is still an increased risk of rectal cancer at the rectal cuff, mandating lifelong endoscopic surveillance. Additionally, upper endoscopic surveillance is required due to the increased rate of gastric, duodenal, and ampullary adenomas and cancers.