Pouch excision for recurrent serrated adenomas following restorative proctocolectomy for juvenile polyposis: report of a case.

Abstract

The study contained herein was undertaken to report the case of a patient with juvenile polyposis in whom multiple and rapid recurrence of mixed polyps, with progressive predominance of the adenomatous component, developed in a diverted ileoanal pouch. The case of this patient with juvenile polyposis was reviewed. Despite regular surveillance and polypectomies, extensive and multiple recurrences of serrated polyps developed. Because the pouch was never cleared of polyps, a compromise to remove the pouch was decided on. Such a case has not been reported previously. Mixed juvenile polyposis may affect any level of the gastrointestinal tract. The ileal pouch and any rectal remnant may incidentally need surgical excision.