Endoscopic Surveillance of Duodenal Polyposis After Total Gastrectomy in Familial Adenomatous Polyposis

The lifetime incidence of duodenal polyposis in familial adenomatous polyposis (FAP) approaches 100%, and duodenal cancer is the most common malignancy once colectomy is performed. The incidence of gastric cancer is increasing in patients with FAP, and when gastric polyps with high-grade dysplasia o...

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Autores principales: Shah, Ravi S., Mehta, Neal, Mankaney, Gautam, Walsh, Matthew R., Burke, Carol A., Bhatt, Amit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7447495/
https://www.ncbi.nlm.nih.gov/pubmed/32903873
http://dx.doi.org/10.14309/crj.0000000000000445
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author Shah, Ravi S.
Mehta, Neal
Mankaney, Gautam
Walsh, Matthew R.
Burke, Carol A.
Bhatt, Amit
author_facet Shah, Ravi S.
Mehta, Neal
Mankaney, Gautam
Walsh, Matthew R.
Burke, Carol A.
Bhatt, Amit
author_sort Shah, Ravi S.
collection PubMed
description The lifetime incidence of duodenal polyposis in familial adenomatous polyposis (FAP) approaches 100%, and duodenal cancer is the most common malignancy once colectomy is performed. The incidence of gastric cancer is increasing in patients with FAP, and when gastric polyps with high-grade dysplasia or cancer are present, a total gastrectomy with Roux-en-Y esophagojejunostomy is indicated. The altered anatomy after surgery and presence of adhesions from a previous colectomy make endoscopic surveillance of the duodenum with standard equipment difficult. This case report highlights an approach to duodenal polyposis surveillance in FAP after total gastrectomy with Roux-en-Y esophagojejunostomy.
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spelling pubmed-74474952020-09-04 Endoscopic Surveillance of Duodenal Polyposis After Total Gastrectomy in Familial Adenomatous Polyposis Shah, Ravi S. Mehta, Neal Mankaney, Gautam Walsh, Matthew R. Burke, Carol A. Bhatt, Amit ACG Case Rep J Case Report The lifetime incidence of duodenal polyposis in familial adenomatous polyposis (FAP) approaches 100%, and duodenal cancer is the most common malignancy once colectomy is performed. The incidence of gastric cancer is increasing in patients with FAP, and when gastric polyps with high-grade dysplasia or cancer are present, a total gastrectomy with Roux-en-Y esophagojejunostomy is indicated. The altered anatomy after surgery and presence of adhesions from a previous colectomy make endoscopic surveillance of the duodenum with standard equipment difficult. This case report highlights an approach to duodenal polyposis surveillance in FAP after total gastrectomy with Roux-en-Y esophagojejunostomy. Wolters Kluwer 2020-08-20 /pmc/articles/PMC7447495/ /pubmed/32903873 http://dx.doi.org/10.14309/crj.0000000000000445 Text en © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Shah, Ravi S.
Mehta, Neal
Mankaney, Gautam
Walsh, Matthew R.
Burke, Carol A.
Bhatt, Amit
Endoscopic Surveillance of Duodenal Polyposis After Total Gastrectomy in Familial Adenomatous Polyposis
title Endoscopic Surveillance of Duodenal Polyposis After Total Gastrectomy in Familial Adenomatous Polyposis
title_full Endoscopic Surveillance of Duodenal Polyposis After Total Gastrectomy in Familial Adenomatous Polyposis
title_fullStr Endoscopic Surveillance of Duodenal Polyposis After Total Gastrectomy in Familial Adenomatous Polyposis
title_full_unstemmed Endoscopic Surveillance of Duodenal Polyposis After Total Gastrectomy in Familial Adenomatous Polyposis
title_short Endoscopic Surveillance of Duodenal Polyposis After Total Gastrectomy in Familial Adenomatous Polyposis
title_sort endoscopic surveillance of duodenal polyposis after total gastrectomy in familial adenomatous polyposis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7447495/
https://www.ncbi.nlm.nih.gov/pubmed/32903873
http://dx.doi.org/10.14309/crj.0000000000000445
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