The paper deals with the problem of preserving the rectum in the therapy of familial polyposis of the colon. According to our own experience and recent publications we cannot support the preservations of the rectum. Nevertheless, in order to preserve continence, we peel off the cylinder of the mucosa of the rest of the rectum (Devine und Ravitch). We have modified this procedure according to the Hochenegg pull-through and have operated successfully on two patients.

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