Total colectomy and anal ileostomy in multiple polyposis coli.

Two patients with familial polyposis coli were treated by total abdominal colectomy, endorectal mucosal stripping, and ileoanal anastomosis. About 24 months after operation, both patients had four to five soft-formed stools daily with good anal sphincter control. Because of its physical and emotional advantages and the fact that possible precancerous lesions are treated completely, we believe that this operation is superior to those generally used today.