{"id":2794,"date":"2026-01-17T12:56:26","date_gmt":"2026-01-17T07:56:26","guid":{"rendered":"https:\/\/doctoraklohana.com\/?p=2794"},"modified":"2026-02-24T20:24:50","modified_gmt":"2026-02-24T15:24:50","slug":"familial-adenomatous-polyposis-fap","status":"publish","type":"post","link":"https:\/\/doctoraklohana.com\/?p=2794","title":{"rendered":"Familial Adenomatous Polyposis (FAP)"},"content":{"rendered":"<p>An inherited syndrome causing hundreds to thousands of colon polyps and a near-100% risk of colorectal cancer by age 40 if untreated.<\/p>\n<p><strong>Why Do I Need Management?<\/strong><\/p>\n<ul>\n<li>Early detection and prophylactic surgery can prevent cancer.<\/li>\n<\/ul>\n<p><strong>How Should I Prepare?<\/strong><\/p>\n<ul>\n<li>Genetic testing for APC mutation.<\/li>\n<li>Annual colonoscopy beginning at age 10\u201312.<\/li>\n<\/ul>\n<p><strong>What Happens During Management?<\/strong><\/p>\n<ul>\n<li><strong>Surveillance<\/strong>: Annual endoscopic removal of polyps.<\/li>\n<li><strong>Surgery<\/strong>: Colectomy with ileorectal or ileal-pouch anastomosis when polyp burden is high.<\/li>\n<\/ul>\n<p><strong>What Can I Expect Afterwards?<\/strong><\/p>\n<ul>\n<li>Lifelong surveillance of the retained rectum or pouch.<\/li>\n<li>Nutritional counseling for changes in bowel habits.<\/li>\n<\/ul>\n<p><strong>Risks &amp; Possible Complications<\/strong><\/p>\n<ul>\n<li>Anastomotic leak (&lt;5%)<\/li>\n<li>Pouchitis (10\u201320%)<\/li>\n<li>Fertility concerns in pelvic surgery<\/li>\n<\/ul>\n<p><strong>Follow-Up<\/strong><\/p>\n<ul>\n<li>Upper-GI endoscopy every 1\u20133 years for duodenal adenomas.<\/li>\n<li>Annual surveillance of pouch or rectal stump.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>An inherited syndrome causing hundreds to thousands of colon polyps and a near-100% risk of colorectal cancer by age 40 if untreated. Why Do I Need Management? Early detection and prophylactic surgery can prevent cancer. How Should I Prepare? Genetic testing for APC mutation. Annual colonoscopy beginning at age 10\u201312. What Happens During Management? Surveillance: [&#8230;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[60],"tags":[],"class_list":["post-2794","post","type-post","status-publish","format-standard","hentry","category-blogs"],"_links":{"self":[{"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=\/wp\/v2\/posts\/2794","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2794"}],"version-history":[{"count":1,"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=\/wp\/v2\/posts\/2794\/revisions"}],"predecessor-version":[{"id":2804,"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=\/wp\/v2\/posts\/2794\/revisions\/2804"}],"wp:attachment":[{"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2794"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2794"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2794"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}