[Familial multiple polyposis]

The familial multiple polyposis is a hereditary disease, autosomic, dominant, heterocigotous, not bound with sex and usually develops with puberty. If the patients are not treated at time, they will develops irremediably a cancer. We must build a pedigree and all the family members have to be investigated. This disease can be associated with other types of tumors and they are present concomitant with this polyposis, preceding it or appearing posteriorly, so, if we find one of these pathologies, we have to investigate the others. The treatment can be a proctocolectomy with permanent ileostomy or with rectum conservation and ileorectal or low ileosigmoid anastomosis with extirpation and fulguration of the rectal polyps before the colectomy or after it depending of the circumstances. They should have an endoscopic control of the preserved rectum each three months.