Table 1.

Indications and advantages of colectomy options in patients with FAP

	Total colectomy + ileorectal anastomosis	Restorative panproctocolectomy
Indications	• Rectal sparing	• Rectal cancer
	• Sparse polyposis	• Multiple rectal polyps
	• Compliant with follow-up	• Widespread colorectal polyps
		• Non-compliant with follow-up
Advantages	• Less operative morbidity	• ⇓ Rectal cancer risk
	• Larger reservoir function	• Less frequent surveillance
Disadvantages	• ⇑ Rectal cancer risk	• Longer procedure
	• Rectal surveillance every 6 months	• Greater complication rate
	• IPAA or ileostomy may be required at a later date	• Likely two-stage procedure
		• Poorer functional outcome