MSH
ROUTINE
•Pre-op biopsies of
anus and low rectum when indication for surgery is dysplasia/cancer
•Stapled
anastamosis where possible for better visualization of anus, provided no
dysplasia in anus pre-operatively
•Consider different
surgical option for high-grade dysplasia in low rectum or for cancer anywhere
in rectum
•Consider age of
patient when recommending surgical choice
•Post-operative
surveillance, although not proven or perfect, should be performed at least
yearly in this patient population- endoscopy and biopsy where possible + imaging, at least for baseline
