U-M Medical School
U-M School of Nursing
Departments & Programs
CONSULT REQUEST GUIDELINES
Familial adenomatous polyposis syndrome (FAP)
Suggested Pre-Referral Evaluation and Management Guidelines
Referral is indicated if:
the patient has indication for total colectomy with ileoanal anastomosis.
- Age > 18
- Colon cancer
- High grade dysplasia
Or other indications for surgical evaluation:
- Desmoid tumor of small bowel mesentery with Symptoms of obstruction
Patients with adenoma of papilla of Vater too large to remove endoscopically, with duodenal cancer or high-grade dysplasia, should be referred to Pancreatic Cancer Clinic
Suggested Additional Test/Management Prior to Specialty Visit
Records should be sent to clinician for review prior to visit.
Colonoscopy and biopsy reports should show > 100 adenomas
Report (with pictures, if possible) available at clinic visit
Pathology report and microscope slides at or before clinic visit
Upper endoscopy with biopsy of duodenal and gastric polyps if present
If cancer on biopsy, then CT scan of chest, abdomen, pelvis with oral and IV contrast)
If history of bowel obstruction from desmoid tumor, then CT scan of abdomen and pelvis with oral and IV contrast)
Medical genetics referral if not already done
Patient Education/Information (includes preps)
If cancer, 2 weeks
Otherwise, within 6 weeks
How to Get Results to Consultant
Any records that are received should be given to consultant to review prior to clinic visit.
UMHS Patients: See MiChart
External Patients: Fax or send appropriate medical documents to program (fax 734-936-6927)
Clinic Contact Information
Clinic Location Sites
Taubman Health Center
UM Consulting Physician
James A Knol, M.D.
Michael William Mulholland, M.D., Ph.D.
Cancer and Desmoid tumor patients are seen by SON
Alfred Edward Chang, M.D.
Arden Marie Morris, MD
Karin M Hardiman, MD
Scott E Regenbogen, MD
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