Doctor insights on:
Well....: Both polyps and hemorrhoids can bleed and maybe over time result in anemia but I would think a trained endoscopist should be able to tell the difference between a polyp and a hemorrhoid, especially in classic FAP patients who have a virtual forest of hundreds or thousands of polyps. Moral of the story: rectal bleeding should be evaluated. ...Read more
No: The familial adenomatous polyposis (fap) gene (apc) exhibits dominant inheritance where affected individuals have one normal and one abnormal copy of the gene. A person can have fap due to a new apc gene mutation (without their parents having it) but this gene would be present at conception. ...Read more
Hi, anyone familar with fap/gardner syndrome? I know genetic testing would need to be done, i'm in san antonio tx (what do I do next?)
Familial polyposis: Genetic testing can be used to help diagnose fap. With genetic testing, a small blood sample is taken from the individual with fap and is sent to a special laboratory that studies the apc gene. About 80% of the time a change (also called an alteration or mutation) in the apc gene that leads to fap is found. Nice summary at: http://www2.Mdanderson.Org/app/pe/index.Cfm?Pagename=opendoc&docid=1032. ...Read moreSee 2 more doctor answers
How does one perform colonoscopy in pt with duhamel procedure from hirschsprungs. Genetic mutation for fap present.?
Not too much problem: In duhamel procedure, for aganglionic colon ( hirschsprung's disease) distal aganglionic colon is anatomosed to proximal ganglionic ( good ) colon side by side anastomosis excessive distal colon will be crushed, shold not be a problem to do endoscopy. ...Read moreSee 1 more doctor answer
If my doctor only found one fap polyp in my colon does that mean I do not have it since there wasn't hundreds? Should I still worry?
No: You need to follow up with colonoscopies since you are at risk. Early detection is your best bet. ...Read more