A member asked:

I had a colonoscopy that revealed over 1, 000 polyps. is there any way this doesn't require collectomy?

8 doctors weighed in across 3 answers
Dr. Arthur Heller answered

Specializes in Gastroenterology

Genetics: Patients with this history need genetic testing, and colectomy, before they develop cancer, because without it they will develop cancer. Need screening for other cancers as well. Family members need screening as well. University centers and cancer centers often have genetic counselling centers.

Answered 9/22/2012

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FAP: Familial adenomatous polyposis results in > 1000 polyps in the colon. Without colectomy there is 100% risk of developing colon cancer. So yes, colectomy is advised.

Answered 6/10/2015

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Dr. Kristel Hunt answered

Specializes in Hepatology

Unusual to count: this high... if you indeed have a genetic syndrome (FAP or similar) yes a colectomy needs to be considered. a lot of it also depends on the pathology of the polyps themselves. you need to discuss this with your GI doc, surgeon and possibly a genetic counselor.

Answered 7/12/2014

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