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Copyright ©2014 Baishideng Publishing Group Inc.
World J Gastroenterol. Nov 28, 2014; 20(44): 16620-16629
Published online Nov 28, 2014. doi: 10.3748/wjg.v20.i44.16620
Table 2 Factors to be considered in the timing decision for surgery
Reasons to indicate or postpone surgeryTiming for surgery
Presence of symptoms (> risk of CRC)As soon as possible
Asymptomatic patient with mild diseaseDiscuss opportunity (before 20 years?)
Sized lesions or with high-grade dysplasia, not amenable to endoscopic resectionImmediately
Severe disease at colonoscopy or by family history/genotypeAs soon as practicable
Attenuated polyposis at colonoscopy or by family history/genotypePersonal decision (16-20 years if mild or 21-25 years if attenuated polyposis )
Preoperative diagnosis, positive family history or genetically susceptible for desmoidsDelay surgery (after evaluating CRC risk)